How much rates vary
Facilitymedian $1,096 · 10th to 90th $589 to $3,236Professionalmedian $776 · 10th to 90th $427 to $5,754
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 $501.19 Median $501.19 Typical High $2,290.87 | Facility | None | $501.19 | $501.19 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $2,290.87 | Professional | None | $501.19 | $501.19 | $2,290.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $3,235.94 | Facility | None | $870.96 | $1,096.48 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier None Typical Low $446.68 Median $1,174.90 Typical High $5,754.40 | Professional | None | $446.68 | $1,174.90 | $5,754.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,995.26 | Facility | None | $660.69 | $660.69 | $1,995.26 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,023.29 | Professional | None | $831.76 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $660.69 | Facility | None | $588.84 | $588.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
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 $436.52 Median $1,000.00 Typical High $1,023.29 | Professional | None | $436.52 | $1,000.00 | $1,023.29 |
Health New England Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $3,235.94 | Facility | None | $870.96 | $1,096.48 | $3,235.94 |
Mass General Brigham Setting Professional Modifier None Typical Low $446.68 Median $1,174.90 Typical High $5,754.40 | Professional | None | $446.68 | $1,174.90 | $5,754.40 |
United Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $1,174.90 | Facility | None | $501.19 | $524.81 | $1,174.90 |
United Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $1,047.13 | Professional | None | $380.19 | $575.44 | $1,047.13 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,380.38 | $2,041.74 |
Well Sense Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | None | $741.31 | $741.31 | $891.25 |
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 $251.19 Median $251.19 Typical High $1,148.15 | Professional | 52 · Reduced service | $251.19 | $251.19 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $457.09 | Professional | 53 · Discontinued | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $346.74 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $229.09 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $229.09 |
Where Massachusetts sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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· 8th of 51
$871
HI $1,175WV $427
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.