How much rates vary
Facilitymedian $5,888 · 10th to 90th $2,818 to $9,333Professionalmedian $3,548 · 10th to 90th $2,042 to $30,200
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 $2,290.87 Median $2,290.87 Typical High $10,471.29 | Facility | None | $2,290.87 | $2,290.87 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $10,471.29 | Professional | None | $2,290.87 | $2,290.87 | $10,471.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4,570.88 Median $5,011.87 Typical High $14,791.08 | Facility | None | $4,570.88 | $5,011.87 | $14,791.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $5,370.32 Typical High $30,199.52 | Professional | None | $2,041.74 | $5,370.32 | $30,199.52 |
BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $6,760.83 Typical High $9,120.11 | Facility | None | $5,248.07 | $6,760.83 | $9,120.11 |
BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,801.89 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,090.30 | Facility | None | $2,754.23 | $2,754.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,041.74 | $2,818.38 |
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 $2,041.74 Median $4,570.88 Typical High $4,786.30 | Professional | None | $2,041.74 | $4,570.88 | $4,786.30 |
Health New England Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $4,570.88 Median $5,011.87 Typical High $14,791.08 | Facility | None | $4,570.88 | $5,011.87 | $14,791.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,041.74 Median $5,370.32 Typical High $30,199.52 | Professional | None | $2,041.74 | $5,370.32 | $30,199.52 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $6,025.60 | Facility | None | $2,454.71 | $2,511.89 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $5,128.61 | Professional | None | $1,737.80 | $2,818.38 | $5,128.61 |
Well Sense Setting Facility Modifier None Typical Low $4,677.35 Median $6,165.95 Typical High $9,332.54 | Facility | None | $4,677.35 | $6,165.95 | $9,332.54 |
Well Sense Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,073.80 | Professional | None | $3,388.44 | $3,388.44 | $4,073.80 |
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 $1,148.15 Median $1,148.15 Typical High $5,248.07 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $5,248.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $2,089.30 | Professional | 53 · Discontinued | $457.09 | $457.09 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $1,548.82 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $1,047.13 |
Where Massachusetts sits
The same service costs 2.8 times more in Montana 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· 10th of 51
$4,266
MT $5,754DE $2,042
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.