How much rates vary
Facilitymedian $219 · 10th to 90th $126 to $676Professionalmedian $162 · 10th to 90th $85 to $1,380
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 $95.50 Median $95.50 Typical High $436.52 | Facility | None | $95.50 | $95.50 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $436.52 | Professional | None | $95.50 | $95.50 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $676.08 | Facility | None | $204.17 | $218.78 | $676.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $218.78 Typical High $1,380.38 | Professional | None | $85.11 | $218.78 | $1,380.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $380.19 | Facility | None | $125.89 | $125.89 | $380.19 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $190.55 | Professional | None | $141.25 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $165.96 Typical High $165.96 | Facility | None | $125.89 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $169.82 | Professional | None | $120.23 | $120.23 | $169.82 |
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 $85.11 Median $190.55 Typical High $194.98 | Professional | None | $85.11 | $190.55 | $194.98 |
Health New England Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $676.08 | Facility | None | $204.17 | $218.78 | $676.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $218.78 Typical High $1,380.38 | Professional | None | $85.11 | $218.78 | $1,380.38 |
United Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $288.40 | Facility | None | $138.04 | $141.25 | $288.40 |
United Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $208.93 | Professional | None | $72.44 | $114.82 | $208.93 |
Well Sense Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $380.19 | Facility | None | $194.98 | $263.03 | $380.19 |
Well Sense Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None | $141.25 | $141.25 | $169.82 |
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 $46.77 Median $46.77 Typical High $213.80 | Professional | 52 · Reduced service | $46.77 | $46.77 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $87.10 | Professional | 53 · Discontinued | $19.05 | $19.05 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $64.57 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $43.65 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $43.65 |
Where Massachusetts sits
The same service costs 2.8 times more in Hawaii than in Florida. 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
$170
HI $331FL $120
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.