How much rates vary
Facilitymedian $5,495 · 10th to 90th $3,548 to $8,710Professionalmedian $3,548 · 10th to 90th $1,905 to $30,903
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 $2,137.96 Median $2,137.96 Typical High $9,772.37 | Facility | None | $2,137.96 | $2,137.96 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $9,772.37 | Professional | None | $2,137.96 | $2,137.96 | $9,772.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4,466.84 Median $4,677.35 Typical High $13,803.84 | Facility | None | $4,466.84 | $4,677.35 | $13,803.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $30,902.95 | Professional | None | $1,905.46 | $5,011.87 | $30,902.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5,011.87 Median $6,309.57 Typical High $8,511.38 | Facility | None | $5,011.87 | $6,309.57 | $8,511.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,235.94 | $4,365.16 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $3,548.13 Typical High $3,548.13 | Facility | None | $2,818.38 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,570.40 | $3,548.13 |
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 $1,905.46 Median $4,265.80 Typical High $4,466.84 | Professional | None | $1,905.46 | $4,265.80 | $4,466.84 |
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 $4,466.84 Median $4,677.35 Typical High $13,803.84 | Facility | None | $4,466.84 | $4,677.35 | $13,803.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $30,902.95 | Professional | None | $1,905.46 | $5,011.87 | $30,902.95 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $6,165.95 | Facility | None | $3,019.95 | $3,890.45 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $4,677.35 | Professional | None | $1,621.81 | $2,511.89 | $4,677.35 |
Well Sense Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $8,709.64 | Facility | None | $4,365.16 | $5,888.44 | $8,709.64 |
Well Sense Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,801.89 | Professional | None | $3,235.94 | $3,235.94 | $3,801.89 |
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 $1,071.52 Median $1,071.52 Typical High $4,897.79 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $4,897.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $1,949.84 | Professional | 53 · Discontinued | $426.58 | $426.58 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $1,479.11 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $1,479.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $977.24 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $977.24 |
Where Massachusetts sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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
$4,074
HI $7,413PA $2,455
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.