How much rates vary
Facilitymedian $646 · 10th to 90th $398 to $1,995Professionalmedian $513 · 10th to 90th $275 to $3,715
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 $309.03 Median $309.03 Typical High $1,412.54 | Facility | None | $309.03 | $309.03 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $1,412.54 | Professional | None | $309.03 | $309.03 | $1,412.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $2,089.30 | Facility | None | $645.65 | $676.08 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $275.42 Median $724.44 Typical High $3,715.35 | Professional | None | $275.42 | $724.44 | $3,715.35 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,258.93 | Facility | None | $416.87 | $416.87 | $1,258.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Facility | None | $398.11 | $398.11 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
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 $275.42 Median $630.96 Typical High $645.65 | Professional | None | $275.42 | $630.96 | $645.65 |
Health New England Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Health New England Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $2,089.30 | Facility | None | $645.65 | $676.08 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $275.42 Median $724.44 Typical High $3,715.35 | Professional | None | $275.42 | $724.44 | $3,715.35 |
United Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $851.14 | Facility | None | $363.08 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $691.83 | Professional | None | $239.88 | $380.19 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $1,258.93 | Facility | None | $630.96 | $870.96 | $1,258.93 |
Well Sense Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | None | $467.74 | $467.74 | $562.34 |
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 $154.88 Median $154.88 Typical High $707.95 | Professional | 52 · Reduced service | $154.88 | $154.88 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $281.84 | Professional | 53 · Discontinued | $61.66 | $61.66 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $213.80 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $141.25 |
Where Massachusetts sits
The same service costs 2.8 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· 18th of 51
$513
HI $794DE $288
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.