How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,399 to $7,586Professionalmedian $2,951 · 10th to 90th $1,622 to $20,893
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 $1,819.70 Median $1,819.70 Typical High $8,317.64 | Facility | None | $1,819.70 | $1,819.70 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $8,317.64 | Professional | None | $1,819.70 | $1,819.70 | $8,317.64 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $12,022.64 | Facility | None | $3,715.35 | $3,981.07 | $12,022.64 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,621.81 Median $4,265.80 Typical High $20,892.96 | Professional | None | $1,621.81 | $4,265.80 | $20,892.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,168.69 Median $5,370.32 Typical High $7,244.36 | Facility | None | $4,168.69 | $5,370.32 | $7,244.36 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,019.95 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,019.95 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,511.89 | Facility | None | $2,290.87 | $2,290.87 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
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 $1,621.81 Median $3,630.78 Typical High $3,801.89 | Professional | None | $1,621.81 | $3,630.78 | $3,801.89 |
Health New England Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $12,022.64 | Facility | None | $3,715.35 | $3,981.07 | $12,022.64 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,621.81 Median $4,265.80 Typical High $20,892.96 | Professional | None | $1,621.81 | $4,265.80 | $20,892.96 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,995.26 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $4,073.80 | Professional | None | $1,380.38 | $2,238.72 | $4,073.80 |
Well Sense Setting Facility Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $7,413.10 | Facility | None | $3,715.35 | $4,897.79 | $7,413.10 |
Well Sense Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,235.94 | Professional | None | $2,691.53 | $2,691.53 | $3,235.94 |
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 $912.01 Median $912.01 Typical High $4,168.69 | Professional | 52 · Reduced service | $912.01 | $912.01 | $4,168.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $1,659.59 | Professional | 53 · Discontinued | $363.08 | $363.08 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $1,258.93 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $831.76 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $831.76 |
Where Massachusetts sits
The same service costs 2.5 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· 13th of 51
$3,467
HI $4,365DE $1,738
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.