How much rates vary
Facilitymedian $282 · 10th to 90th $126 to $525Professionalmedian $148 · 10th to 90th $89 to $1,259
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 $100.00 Median $100.00 Typical High $457.09 | Facility | None | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $457.09 | Professional | None | $100.00 | $100.00 | $457.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $707.95 | Facility | None | $204.17 | $218.78 | $707.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $89.13 Median $234.42 Typical High $1,258.93 | Professional | None | $89.13 | $234.42 | $1,258.93 |
BCBS Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $446.68 | Facility | None | $269.15 | $338.84 | $446.68 |
BCBS Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $204.17 | Professional | None | $147.91 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $128.82 | Professional | None | $93.33 | $93.33 | $128.82 |
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 $89.13 Median $199.53 Typical High $208.93 | Professional | None | $89.13 | $199.53 | $208.93 |
Health New England Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $707.95 | Facility | None | $204.17 | $218.78 | $707.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $89.13 Median $234.42 Typical High $1,258.93 | Professional | None | $89.13 | $234.42 | $1,258.93 |
United Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $263.03 | Facility | None | $100.00 | $120.23 | $263.03 |
United Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $223.87 | Professional | None | $75.86 | $123.03 | $223.87 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $407.38 | Facility | None | $204.17 | $269.15 | $407.38 |
Well Sense Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
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 $50.12 Median $50.12 Typical High $229.09 | Professional | 52 · Reduced service | $50.12 | $50.12 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $91.20 | Professional | 53 · Discontinued | $19.95 | $19.95 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $67.61 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $45.71 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $45.71 |
Where Massachusetts sits
The same service costs 2.9 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· 11th of 51
$186
HI $269DE $93.33
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.