How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,738 to $6,026Professionalmedian $1,995 · 10th to 90th $1,175 to $17,378
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 $1,318.26 Median $1,318.26 Typical High $6,025.60 | Facility | None | $1,318.26 | $1,318.26 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $6,025.60 | Professional | None | $1,318.26 | $1,318.26 | $6,025.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $8,511.38 | Facility | None | $2,398.83 | $2,884.03 | $8,511.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $3,090.30 Typical High $17,378.01 | Professional | None | $1,174.90 | $3,090.30 | $17,378.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $5,248.07 | Facility | None | $3,090.30 | $3,890.45 | $5,248.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $2,691.53 | Professional | None | $1,995.26 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,659.59 | $1,659.59 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
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 $1,174.90 Median $2,630.27 Typical High $2,691.53 | Professional | None | $1,174.90 | $2,630.27 | $2,691.53 |
Health New England Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $8,511.38 | Facility | None | $2,398.83 | $2,884.03 | $8,511.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $3,090.30 Typical High $17,378.01 | Professional | None | $1,174.90 | $3,090.30 | $17,378.01 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,513.56 | $2,754.23 |
Well Sense Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $5,370.32 | Facility | None | $2,691.53 | $3,630.78 | $5,370.32 |
Well Sense Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,995.26 | $1,995.26 | $2,398.83 |
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 $660.69 Median $660.69 Typical High $3,019.95 | Professional | 52 · Reduced service | $660.69 | $660.69 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $1,202.26 | Professional | 53 · Discontinued | $263.03 | $263.03 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $912.01 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $602.56 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $602.56 |
Where Massachusetts sits
The same service costs 3.5 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· 7th of 51
$2,399
HI $4,169DE $1,202
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.