How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,318 to $4,266Professionalmedian $1,445 · 10th to 90th $832 to $14,454
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 $933.25 Median $933.25 Typical High $4,265.80 | Facility | None | $933.25 | $933.25 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $4,265.80 | Professional | None | $933.25 | $933.25 | $4,265.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $6,025.60 | Facility | None | $1,949.84 | $2,041.74 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $831.76 Median $2,187.76 Typical High $14,454.40 | Professional | None | $831.76 | $2,187.76 | $14,454.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $3,715.35 | Facility | None | $2,137.96 | $2,754.23 | $3,715.35 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,548.82 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,230.27 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
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 $831.76 Median $1,862.09 Typical High $1,949.84 | Professional | None | $831.76 | $1,862.09 | $1,949.84 |
Health New England Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $6,025.60 | Facility | None | $1,949.84 | $2,041.74 | $6,025.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $831.76 Median $2,187.76 Typical High $14,454.40 | Professional | None | $831.76 | $2,187.76 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $2,511.89 | Facility | None | $1,230.27 | $1,318.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $2,089.30 | Professional | None | $707.95 | $1,148.15 | $2,089.30 |
Well Sense Setting Facility Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $3,801.89 | Facility | None | $1,905.46 | $2,511.89 | $3,801.89 |
Well Sense Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,380.38 | $1,659.59 |
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 $467.74 Median $467.74 Typical High $2,137.96 | Professional | 52 · Reduced service | $467.74 | $467.74 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $851.14 | Professional | 53 · Discontinued | $186.21 | $186.21 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $645.65 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $426.58 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $426.58 |
Where Massachusetts sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 11th of 51
$1,778
HI $3,548DC $977
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.