How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,000 to $2,951Professionalmedian $1,047 · 10th to 90th $575 to $9,772
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 $645.65 Median $645.65 Typical High $2,951.21 | Facility | None | $645.65 | $645.65 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $2,951.21 | Professional | None | $645.65 | $645.65 | $2,951.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $4,168.69 | Facility | None | $1,318.26 | $1,380.38 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $575.44 Median $1,479.11 Typical High $9,772.37 | Professional | None | $575.44 | $1,479.11 | $9,772.37 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,570.40 | Facility | None | $1,479.11 | $1,905.46 | $2,570.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,288.25 | Professional | None | $954.99 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Facility | None | $851.14 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
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 $575.44 Median $1,288.25 Typical High $1,318.26 | Professional | None | $575.44 | $1,288.25 | $1,318.26 |
Health New England Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $4,168.69 | Facility | None | $1,318.26 | $1,380.38 | $4,168.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $575.44 Median $1,479.11 Typical High $9,772.37 | Professional | None | $575.44 | $1,479.11 | $9,772.37 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,862.09 | Facility | None | $912.01 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,412.54 | Professional | None | $489.78 | $776.25 | $1,412.54 |
Well Sense Setting Facility Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,570.40 | Facility | None | $1,318.26 | $1,737.80 | $2,570.40 |
Well Sense Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
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 $323.59 Median $323.59 Typical High $1,479.11 | Professional | 52 · Reduced service | $323.59 | $323.59 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $588.84 | Professional | 53 · Discontinued | $128.82 | $128.82 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $436.52 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $295.12 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $295.12 |
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· 12th of 51
$1,202
HI $2,344PA $759
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.