How much rates vary
Facilitymedian $562 · 10th to 90th $316 to $1,660Professionalmedian $380 · 10th to 90th $229 to $2,630
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 $257.04 Median $257.04 Typical High $1,174.90 | Facility | None | $257.04 | $257.04 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $1,174.90 | Professional | None | $257.04 | $257.04 | $1,174.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,659.59 | Facility | None | $446.68 | $562.34 | $1,659.59 |
AllWays Health Partners Setting Professional Modifier None Typical Low $229.09 Median $602.56 Typical High $2,630.27 | Professional | None | $229.09 | $602.56 | $2,630.27 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $1,023.29 | Facility | None | $338.84 | $338.84 | $1,023.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $524.81 | Professional | None | $389.05 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $323.59 | Professional | None | $229.09 | $229.09 | $323.59 |
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 $229.09 Median $512.86 Typical High $524.81 | Professional | None | $229.09 | $512.86 | $524.81 |
Health New England Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,659.59 | Facility | None | $446.68 | $562.34 | $1,659.59 |
Mass General Brigham Setting Professional Modifier None Typical Low $229.09 Median $602.56 Typical High $2,630.27 | Professional | None | $229.09 | $602.56 | $2,630.27 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $602.56 | Facility | None | $213.80 | $257.04 | $602.56 |
United Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $537.03 | Professional | None | $194.98 | $295.12 | $537.03 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $707.95 Typical High $1,047.13 | Facility | None | $524.81 | $707.95 | $1,047.13 |
Well Sense Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None | $380.19 | $380.19 | $457.09 |
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 $128.82 Median $128.82 Typical High $588.84 | Professional | 52 · Reduced service | $128.82 | $128.82 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $234.42 | Professional | 53 · Discontinued | $51.29 | $51.29 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $177.83 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $117.49 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $117.49 |
Where Massachusetts sits
The same service costs 2.5 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
$427
HI $562DE $229
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.