How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,000 to $3,467Professionalmedian $1,259 · 10th to 90th $676 to $11,220
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 $758.58 Median $758.58 Typical High $3,467.37 | Facility | None | $758.58 | $758.58 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $3,467.37 | Professional | None | $758.58 | $758.58 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $4,897.79 | Facility | None | $1,621.81 | $1,698.24 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,737.80 Typical High $11,220.18 | Professional | None | $676.08 | $1,737.80 | $11,220.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,019.95 | Facility | None | $1,737.80 | $2,238.72 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,000.00 | $1,318.26 | $1,318.26 |
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 $676.08 Median $1,513.56 Typical High $1,548.82 | Professional | None | $676.08 | $1,513.56 | $1,548.82 |
Health New England Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $4,897.79 | Facility | None | $1,621.81 | $1,698.24 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $676.08 Median $1,737.80 Typical High $11,220.18 | Professional | None | $676.08 | $1,737.80 | $11,220.18 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,238.72 | Facility | None | $645.65 | $831.76 | $2,238.72 |
United Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,698.24 | Professional | None | $575.44 | $912.01 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,548.82 | $2,089.30 | $3,019.95 |
Well Sense Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,122.02 | $1,122.02 | $1,348.96 |
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 $380.19 Median $380.19 Typical High $1,737.80 | Professional | 52 · Reduced service | $380.19 | $380.19 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $691.83 | Professional | 53 · Discontinued | $151.36 | $151.36 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $512.86 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $346.74 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $346.74 |
Where Massachusetts sits
The same service costs 2.5 times more in Montana 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· 16th of 51
$1,413
MT $2,239PA $891
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.