How much rates vary
Facilitymedian $4,467 · 10th to 90th $2,239 to $7,413Professionalmedian $2,818 · 10th to 90th $1,514 to $19,953
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 $1,698.24 Median $1,698.24 Typical High $7,762.47 | Facility | None | $1,698.24 | $1,698.24 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $7,762.47 | Professional | None | $1,698.24 | $1,698.24 | $7,762.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $10,964.78 | Facility | None | $3,548.13 | $3,715.35 | $10,964.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $3,981.07 Typical High $19,952.62 | Professional | None | $1,513.56 | $3,981.07 | $19,952.62 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,890.45 Median $5,011.87 Typical High $6,760.83 | Facility | None | $3,890.45 | $5,011.87 | $6,760.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,818.38 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,818.38 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Facility | None | $2,137.96 | $2,137.96 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,584.89 | $1,584.89 | $2,187.76 |
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 $1,513.56 Median $3,388.44 Typical High $3,548.13 | Professional | None | $1,513.56 | $3,388.44 | $3,548.13 |
Health New England Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $10,964.78 | Facility | None | $3,548.13 | $3,715.35 | $10,964.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,513.56 Median $3,981.07 Typical High $19,952.62 | Professional | None | $1,513.56 | $3,981.07 | $19,952.62 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,677.35 Typical High $4,677.35 | Facility | None | $1,949.84 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,288.25 | $2,041.74 | $3,801.89 |
Well Sense Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,918.31 | Facility | None | $3,467.37 | $4,677.35 | $6,918.31 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $851.14 Median $851.14 Typical High $3,890.45 | Professional | 52 · Reduced service | $851.14 | $851.14 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $1,548.82 | Professional | 53 · Discontinued | $338.84 | $338.84 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $1,174.90 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $1,174.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $776.25 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $776.25 |
Where Massachusetts sits
The same service costs 2.6 times more in Wisconsin 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· 12th of 51
$3,236
WI $4,074DE $1,585
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.