How much rates vary
Facilitymedian $5,012 · 10th to 90th $3,090 to $7,943Professionalmedian $3,236 · 10th to 90th $1,738 to $24,547
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 $1,949.84 Median $1,949.84 Typical High $8,912.51 | Facility | None | $1,949.84 | $1,949.84 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $8,912.51 | Professional | None | $1,949.84 | $1,949.84 | $8,912.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4,168.69 Median $4,265.80 Typical High $12,589.25 | Facility | None | $4,168.69 | $4,265.80 | $12,589.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $4,570.88 Typical High $24,547.09 | Professional | None | $1,737.80 | $4,570.88 | $24,547.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $7,585.78 | Facility | None | $4,466.84 | $5,623.41 | $7,585.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,884.03 Median $3,981.07 Typical High $3,981.07 | Professional | None | $2,884.03 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $3,388.44 Typical High $3,388.44 | Facility | None | $1,584.89 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
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 $1,737.80 Median $3,890.45 Typical High $4,073.80 | Professional | None | $1,737.80 | $3,890.45 | $4,073.80 |
Health New England Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $4,168.69 Median $4,265.80 Typical High $12,589.25 | Facility | None | $4,168.69 | $4,265.80 | $12,589.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,737.80 Median $4,570.88 Typical High $24,547.09 | Professional | None | $1,737.80 | $4,570.88 | $24,547.09 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,495.41 Typical High $5,495.41 | Facility | None | $2,398.83 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $4,365.16 | Professional | None | $1,479.11 | $2,344.23 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $3,981.07 Median $5,370.32 Typical High $7,943.28 | Facility | None | $3,981.07 | $5,370.32 | $7,943.28 |
Well Sense Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,884.03 | $2,884.03 | $3,467.37 |
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 $977.24 Median $977.24 Typical High $4,466.84 | Professional | 52 · Reduced service | $977.24 | $977.24 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $1,778.28 | Professional | 53 · Discontinued | $389.05 | $389.05 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $1,318.26 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $891.25 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $891.25 |
Where Massachusetts sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 15th of 51
$3,631
MT $4,898SC $2,344
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.