How much rates vary
Facilitymedian $776 · 10th to 90th $468 to $2,291Professionalmedian $537 · 10th to 90th $316 to $4,074
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 $354.81 Median $354.81 Typical High $1,621.81 | Facility | None | $354.81 | $354.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $1,621.81 | Professional | None | $354.81 | $354.81 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $2,290.87 | Facility | None | $645.65 | $776.25 | $2,290.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $316.23 Median $831.76 Typical High $4,073.80 | Professional | None | $316.23 | $831.76 | $4,073.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,445.44 | Facility | None | $467.74 | $467.74 | $1,445.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $724.44 | Professional | None | $537.03 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $501.19 | Facility | None | $467.74 | $467.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $478.63 | Professional | None | $338.84 | $338.84 | $478.63 |
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 $316.23 Median $707.95 Typical High $724.44 | Professional | None | $316.23 | $707.95 | $724.44 |
Health New England Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $2,290.87 | Facility | None | $645.65 | $776.25 | $2,290.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $316.23 Median $831.76 Typical High $4,073.80 | Professional | None | $316.23 | $831.76 | $4,073.80 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $851.14 | Facility | None | $380.19 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $741.31 | Professional | None | $269.15 | $407.38 | $741.31 |
Well Sense Setting Facility Modifier None Typical Low $724.44 Median $977.24 Typical High $1,445.44 | Facility | None | $724.44 | $977.24 | $1,445.44 |
Well Sense Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $645.65 | Professional | None | $537.03 | $537.03 | $645.65 |
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 $177.83 Median $177.83 Typical High $812.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $323.59 | Professional | 53 · Discontinued | $70.79 | $70.79 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $245.47 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $162.18 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $162.18 |
Where Massachusetts sits
The same service costs 2.9 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· 13th of 51
$589
HI $977FL $339
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.