How much rates vary
Facilitymedian $4,266 · 10th to 90th $2,042 to $6,918Professionalmedian $2,455 · 10th to 90th $1,479 to $19,498
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 $1,659.59 Median $1,659.59 Typical High $7,585.78 | Facility | None | $1,659.59 | $1,659.59 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $7,585.78 | Professional | None | $1,659.59 | $1,659.59 | $7,585.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $10,715.19 | Facility | None | $2,951.21 | $3,630.78 | $10,715.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $3,890.45 Typical High $19,498.45 | Professional | None | $1,479.11 | $3,890.45 | $19,498.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $6,606.93 | Facility | None | $3,890.45 | $4,897.79 | $6,606.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,511.89 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,513.56 | $2,089.30 |
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 $1,479.11 Median $3,311.31 Typical High $3,388.44 | Professional | None | $1,479.11 | $3,311.31 | $3,388.44 |
Health New England Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $10,715.19 | Facility | None | $2,951.21 | $3,630.78 | $10,715.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,479.11 Median $3,890.45 Typical High $19,498.45 | Professional | None | $1,479.11 | $3,890.45 | $19,498.45 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,890.45 | Facility | None | $1,905.46 | $1,949.84 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,905.46 | $3,467.37 |
Well Sense Setting Facility Modifier None Typical Low $3,388.44 Median $4,466.84 Typical High $6,760.83 | Facility | None | $3,388.44 | $4,466.84 | $6,760.83 |
Well Sense Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,454.71 | $2,951.21 |
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 $831.76 Median $831.76 Typical High $3,801.89 | Professional | 52 · Reduced service | $831.76 | $831.76 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $1,513.56 | Professional | 53 · Discontinued | $331.13 | $331.13 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $1,148.15 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $758.58 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $758.58 |
Where Massachusetts sits
The same service costs 3.1 times more in Hawaii than in Pennsylvania. 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· 9th of 51
$2,951
HI $4,677PA $1,514
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.