How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,862 to $5,888Professionalmedian $2,188 · 10th to 90th $1,259 to $18,197
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 $1,412.54 Median $1,412.54 Typical High $6,456.54 | Facility | None | $1,412.54 | $1,412.54 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $6,456.54 | Professional | None | $1,412.54 | $1,412.54 | $6,456.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $9,120.11 | Facility | None | $3,019.95 | $3,019.95 | $9,120.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $18,197.01 | Professional | None | $1,258.93 | $3,235.94 | $18,197.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $5,623.41 | Facility | None | $3,235.94 | $4,168.69 | $5,623.41 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,089.30 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,288.25 | $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 $1,258.93 Median $2,818.38 Typical High $2,884.03 | Professional | None | $1,258.93 | $2,818.38 | $2,884.03 |
Health New England Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $9,120.11 | Facility | None | $3,019.95 | $3,019.95 | $9,120.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $18,197.01 | Professional | None | $1,258.93 | $3,235.94 | $18,197.01 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,621.81 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $3,162.28 | Professional | None | $1,071.52 | $1,698.24 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $2,884.03 Median $3,890.45 Typical High $5,623.41 | Facility | None | $2,884.03 | $3,890.45 | $5,623.41 |
Well Sense Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Professional | None | $2,089.30 | $2,089.30 | $2,511.89 |
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 $707.95 Median $707.95 Typical High $3,235.94 | Professional | 52 · Reduced service | $707.95 | $707.95 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $1,288.25 | Professional | 53 · Discontinued | $281.84 | $281.84 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $954.99 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $645.65 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $645.65 |
Where Massachusetts sits
The same service costs 3.2 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· 16th of 51
$2,630
HI $4,169DE $1,288
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.