How much rates vary
Facilitymedian $339 · 10th to 90th $195 to $955Professionalmedian $257 · 10th to 90th $132 to $2,188
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 $147.91 Median $147.91 Typical High $676.08 | Facility | None | $147.91 | $147.91 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $676.08 | Professional | None | $147.91 | $147.91 | $676.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $338.84 Typical High $954.99 | Facility | None | $316.23 | $338.84 | $954.99 |
AllWays Health Partners Setting Professional Modifier None Typical Low $131.83 Median $346.74 Typical High $2,187.76 | Professional | None | $131.83 | $346.74 | $2,187.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $588.84 | Facility | None | $194.98 | $194.98 | $588.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $295.12 | Professional | None | $218.78 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $245.47 | Facility | None | $194.98 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
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 $131.83 Median $295.12 Typical High $302.00 | Professional | None | $131.83 | $295.12 | $302.00 |
Health New England Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $338.84 Typical High $954.99 | Facility | None | $316.23 | $338.84 | $954.99 |
Mass General Brigham Setting Professional Modifier None Typical Low $131.83 Median $346.74 Typical High $2,187.76 | Professional | None | $131.83 | $346.74 | $2,187.76 |
United Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $457.09 | Facility | None | $169.82 | $173.78 | $457.09 |
United Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $331.13 | Professional | None | $112.20 | $177.83 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $588.84 | Facility | None | $302.00 | $407.38 | $588.84 |
Well Sense Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
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 $74.13 Median $74.13 Typical High $338.84 | Professional | 52 · Reduced service | $74.13 | $74.13 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $134.90 | Professional | 53 · Discontinued | $29.51 | $29.51 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $100.00 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $67.61 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $67.61 |
Where Massachusetts sits
The same service costs 2.3 times more in Wisconsin than in Colorado. 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· 20th of 51
$257
WI $407CO $178
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.