How much rates vary
Facilitymedian $302 · 10th to 90th $162 to $891Professionalmedian $209 · 10th to 90th $110 to $1,862
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 $123.03 Median $123.03 Typical High $562.34 | Facility | None | $123.03 | $123.03 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $562.34 | Professional | None | $123.03 | $123.03 | $562.34 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $891.25 | Facility | None | $269.15 | $302.00 | $891.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $109.65 Median $288.40 Typical High $1,862.09 | Professional | None | $109.65 | $288.40 | $1,862.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $501.19 | Facility | None | $162.18 | $162.18 | $501.19 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | None | $204.17 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $194.98 | Facility | None | $162.18 | $177.83 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | None | $128.82 | $128.82 | $181.97 |
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 $109.65 Median $245.47 Typical High $257.04 | Professional | None | $109.65 | $245.47 | $257.04 |
Health New England Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $891.25 | Facility | None | $269.15 | $302.00 | $891.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $109.65 Median $288.40 Typical High $1,862.09 | Professional | None | $109.65 | $288.40 | $1,862.09 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $380.19 | Facility | None | $186.21 | $208.93 | $380.19 |
United Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $275.42 | Professional | None | $93.33 | $151.36 | $275.42 |
Well Sense Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $501.19 | Facility | None | $251.19 | $338.84 | $501.19 |
Well Sense Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | None | $186.21 | $186.21 | $223.87 |
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 $61.66 Median $61.66 Typical High $281.84 | Professional | 52 · Reduced service | $61.66 | $61.66 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $112.20 | Professional | 53 · Discontinued | $24.55 | $24.55 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $85.11 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $56.23 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $56.23 |
Where Massachusetts sits
The same service costs 3.5 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· 19th of 51
$214
HI $447DE $129
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.