How much rates vary
Facilitymedian $275 · 10th to 90th $141 to $912Professionalmedian $195 · 10th to 90th $102 to $1,549
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $575.44 | Facility | None | $125.89 | $125.89 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $575.44 | Professional | None | $125.89 | $125.89 | $575.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $912.01 | Facility | None | $229.09 | $275.42 | $912.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $112.20 Median $295.12 Typical High $1,548.82 | Professional | None | $112.20 | $295.12 | $1,548.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $512.86 | Facility | None | $169.82 | $169.82 | $512.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | None | $208.93 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $109.65 Median $251.19 Typical High $257.04 | Professional | None | $109.65 | $251.19 | $257.04 |
Health New England Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $912.01 | Facility | None | $229.09 | $275.42 | $912.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $112.20 Median $295.12 Typical High $1,548.82 | Professional | None | $112.20 | $295.12 | $1,548.82 |
United Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $295.12 | Facility | None | $144.54 | $158.49 | $295.12 |
United Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $263.03 | Professional | None | $95.50 | $144.54 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $512.86 | Facility | None | $257.04 | $346.74 | $512.86 |
Well Sense Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None | $190.55 | $190.55 | $229.09 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $288.40 | Professional | 52 · Reduced service | $63.10 | $63.10 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $114.82 | Professional | 53 · Discontinued | $25.12 | $25.12 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $87.10 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $57.54 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $57.54 |
Where Massachusetts sits
The same service costs 3.7 times more in Hawaii than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 14th of 51
$209
HI $380FL $102
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.