How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,000 to $3,548Professionalmedian $1,122 · 10th to 90th $661 to $8,710
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 $758.58 Median $758.58 Typical High $3,467.37 | Facility | None | $758.58 | $758.58 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $3,467.37 | Professional | None | $758.58 | $758.58 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $4,897.79 | Facility | None | $1,348.96 | $1,621.81 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,737.80 Typical High $8,709.64 | Professional | None | $676.08 | $1,737.80 | $8,709.64 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,019.95 | Facility | None | $1,737.80 | $2,238.72 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Facility | None | $912.01 | $912.01 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
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 $660.69 Median $1,513.56 Typical High $1,513.56 | Professional | None | $660.69 | $1,513.56 | $1,513.56 |
Health New England Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $4,897.79 | Facility | None | $1,348.96 | $1,621.81 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $676.08 Median $1,737.80 Typical High $8,709.64 | Professional | None | $676.08 | $1,737.80 | $8,709.64 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $1,737.80 | Facility | None | $575.44 | $676.08 | $1,737.80 |
United Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,548.82 | Professional | None | $575.44 | $851.14 | $1,548.82 |
Well Sense Setting Facility Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,548.82 | $2,089.30 | $3,019.95 |
Well Sense Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,122.02 | $1,122.02 | $1,348.96 |
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 $371.54 Median $371.54 Typical High $1,698.24 | Professional | 52 · Reduced service | $371.54 | $371.54 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $691.83 | Professional | 53 · Discontinued | $151.36 | $151.36 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $512.86 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $346.74 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $346.74 |
Where Massachusetts sits
The same service costs 2.3 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· 6th of 51
$1,349
HI $1,514DE $661
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.