How much rates vary
Facilitymedian $813 · 10th to 90th $417 to $2,399Professionalmedian $550 · 10th to 90th $302 to $4,898
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 $371.54 Median $371.54 Typical High $1,698.24 | Facility | None | $371.54 | $371.54 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $1,698.24 | Professional | None | $371.54 | $371.54 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $2,398.83 | Facility | None | $660.69 | $812.83 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $331.13 Median $870.96 Typical High $4,897.79 | Professional | None | $331.13 | $870.96 | $4,897.79 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,479.11 | Facility | None | $489.78 | $489.78 | $1,479.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $758.58 | Professional | None | $562.34 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Facility | None | $416.87 | $416.87 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
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 $323.59 Median $741.31 Typical High $758.58 | Professional | None | $323.59 | $741.31 | $758.58 |
Health New England Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $2,398.83 | Facility | None | $660.69 | $812.83 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $331.13 Median $870.96 Typical High $4,897.79 | Professional | None | $331.13 | $870.96 | $4,897.79 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $870.96 | Facility | None | $426.58 | $467.74 | $870.96 |
United Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $776.25 | Professional | None | $281.84 | $426.58 | $776.25 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,513.56 | Facility | None | $758.58 | $1,000.00 | $1,513.56 |
Well Sense Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | None | $549.54 | $549.54 | $660.69 |
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 $186.21 Median $186.21 Typical High $851.14 | Professional | 52 · Reduced service | $186.21 | $186.21 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $338.84 | Professional | 53 · Discontinued | $74.13 | $74.13 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $257.04 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $169.82 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $169.82 |
Where Massachusetts sits
The same service costs 3.9 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· 12th of 51
$617
HI $1,175DE $302
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.