How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,622 to $4,898Professionalmedian $1,862 · 10th to 90th $1,000 to $15,849
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 $1,096.48 Median $1,096.48 Typical High $5,011.87 | Facility | None | $1,096.48 | $1,096.48 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $5,011.87 | Professional | None | $1,096.48 | $1,096.48 | $5,011.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $2,570.40 Typical High $7,079.46 | Facility | None | $2,398.83 | $2,570.40 | $7,079.46 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $15,848.93 | Professional | None | $1,000.00 | $2,570.40 | $15,848.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $4,365.16 | Facility | None | $2,570.40 | $3,311.31 | $4,365.16 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,819.70 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,479.11 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
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 $1,000.00 Median $2,238.72 Typical High $2,290.87 | Professional | None | $1,000.00 | $2,238.72 | $2,290.87 |
Health New England Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,398.83 Median $2,570.40 Typical High $7,079.46 | Facility | None | $2,398.83 | $2,570.40 | $7,079.46 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $15,848.93 | Professional | None | $1,000.00 | $2,570.40 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,445.44 | $1,621.81 | $3,311.31 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,454.71 | Professional | None | $851.14 | $1,348.96 | $2,454.71 |
Well Sense Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,466.84 | Facility | None | $2,290.87 | $3,019.95 | $4,466.84 |
Well Sense Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,659.59 | $1,659.59 | $1,995.26 |
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 $549.54 Median $549.54 Typical High $2,511.89 | Professional | 52 · Reduced service | $549.54 | $549.54 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $1,023.29 | Professional | 53 · Discontinued | $223.87 | $223.87 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $758.58 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $501.19 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $501.19 |
Where Massachusetts sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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· 17th of 51
$2,089
HI $3,715DC $1,318
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.