How much rates vary
Facilitymedian $794 · 10th to 90th $468 to $2,291Professionalmedian $589 · 10th to 90th $316 to $4,786
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 $354.81 Median $354.81 Typical High $1,621.81 | Facility | None | $354.81 | $354.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $1,621.81 | Professional | None | $354.81 | $354.81 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $794.33 Typical High $2,290.87 | Facility | None | $724.44 | $794.33 | $2,290.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $316.23 Median $831.76 Typical High $4,786.30 | Professional | None | $316.23 | $831.76 | $4,786.30 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,412.54 | Facility | None | $467.74 | $467.74 | $1,412.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $707.95 | Professional | None | $524.81 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $645.65 | Facility | None | $467.74 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $741.31 | Professional | None | $467.74 | $467.74 | $741.31 |
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 $316.23 Median $707.95 Typical High $724.44 | Professional | None | $316.23 | $707.95 | $724.44 |
Health New England Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $794.33 Typical High $2,290.87 | Facility | None | $724.44 | $794.33 | $2,290.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $316.23 Median $831.76 Typical High $4,786.30 | Professional | None | $316.23 | $831.76 | $4,786.30 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $1,023.29 | Facility | None | $489.78 | $1,023.29 | $1,023.29 |
United Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $758.58 | Professional | None | $269.15 | $426.58 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $724.44 Median $977.24 Typical High $1,412.54 | Facility | None | $724.44 | $977.24 | $1,412.54 |
Well Sense Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | None | $524.81 | $524.81 | $630.96 |
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 $177.83 Median $177.83 Typical High $812.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $323.59 | Professional | 53 · Discontinued | $70.79 | $70.79 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $239.88 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $162.18 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $162.18 |
Where Massachusetts sits
The same service costs 2.7 times more in Hawaii than in Washington, DC. 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
$646
HI $1,096DC $407
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.