How much rates vary
Facilitymedian $209 · 10th to 90th $123 to $692Professionalmedian $155 · 10th to 90th $85 to $1,318
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 $95.50 Median $95.50 Typical High $436.52 | Facility | None | $95.50 | $95.50 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $436.52 | Professional | None | $95.50 | $95.50 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $691.83 | Facility | None | $204.17 | $208.93 | $691.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $223.87 Typical High $1,318.26 | Professional | None | $85.11 | $223.87 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $389.05 | Facility | None | $128.82 | $128.82 | $389.05 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | None | $158.49 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $134.90 | Facility | None | $123.03 | $123.03 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
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 $85.11 Median $194.98 Typical High $199.53 | Professional | None | $85.11 | $194.98 | $199.53 |
Health New England Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $691.83 | Facility | None | $204.17 | $208.93 | $691.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $223.87 Typical High $1,318.26 | Professional | None | $85.11 | $223.87 | $1,318.26 |
United Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $269.15 | Facility | None | $107.15 | $131.83 | $269.15 |
United Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $213.80 | Professional | None | $74.13 | $117.49 | $213.80 |
Well Sense Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $389.05 | Facility | None | $194.98 | $263.03 | $389.05 |
Well Sense Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | None | $144.54 | $144.54 | $173.78 |
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 $47.86 Median $47.86 Typical High $218.78 | Professional | 52 · Reduced service | $47.86 | $47.86 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $87.10 | Professional | 53 · Discontinued | $19.05 | $19.05 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $66.07 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $43.65 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $43.65 |
Where Massachusetts sits
The same service costs 3.0 times more in Hawaii than in Delaware. 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· 13th of 51
$162
HI $275DE $93.33
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.