How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,738 to $4,786Professionalmedian $1,698 · 10th to 90th $912 to $12,303
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 $1,023.29 Median $1,023.29 Typical High $4,677.35 | Facility | None | $1,023.29 | $1,023.29 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $4,677.35 | Professional | None | $1,023.29 | $1,023.29 | $4,677.35 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $6,918.31 | Facility | None | $2,187.76 | $2,238.72 | $6,918.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $912.01 Median $2,398.83 Typical High $12,302.69 | Professional | None | $912.01 | $2,398.83 | $12,302.69 |
BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $4,073.80 | Facility | None | $2,630.27 | $3,090.30 | $4,073.80 |
BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,698.24 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Facility | None | $1,348.96 | $1,348.96 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
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 $912.01 Median $2,041.74 Typical High $2,137.96 | Professional | None | $912.01 | $2,041.74 | $2,137.96 |
Health New England Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $6,918.31 | Facility | None | $2,187.76 | $2,238.72 | $6,918.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $912.01 Median $2,398.83 Typical High $12,302.69 | Professional | None | $912.01 | $2,398.83 | $12,302.69 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,290.87 | Professional | None | $776.25 | $1,258.93 | $2,290.87 |
Well Sense Setting Facility Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,168.69 | Facility | None | $2,089.30 | $2,818.38 | $4,168.69 |
Well Sense Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,548.82 | $1,548.82 | $1,819.70 |
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 $512.86 Median $512.86 Typical High $2,344.23 | Professional | 52 · Reduced service | $512.86 | $512.86 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $933.25 | Professional | 53 · Discontinued | $204.17 | $204.17 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $707.95 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $467.74 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $467.74 |
Where Massachusetts sits
The same service costs 2.6 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· 13th of 51
$1,995
MT $2,512DE $977
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.