How much rates vary
Facilitymedian $12,023 · 10th to 90th $6,166 to $19,055Professionalmedian $7,244 · 10th to 90th $4,169 to $53,703
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 $4,677.35 Median $4,677.35 Typical High $21,379.62 | Facility | None | $4,677.35 | $4,677.35 | $21,379.62 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $21,379.62 | Professional | None | $4,677.35 | $4,677.35 | $21,379.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9,332.54 Median $10,232.93 Typical High $30,199.52 | Facility | None | $9,332.54 | $10,232.93 | $30,199.52 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4,168.69 Median $10,964.78 Typical High $53,703.18 | Professional | None | $4,168.69 | $10,964.78 | $53,703.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10,715.19 Median $13,803.84 Typical High $18,620.87 | Facility | None | $10,715.19 | $13,803.84 | $18,620.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $6,918.31 Median $9,549.93 Typical High $9,549.93 | Professional | None | $6,918.31 | $9,549.93 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $6,165.95 Median $7,244.36 Typical High $7,413.10 | Facility | None | $6,165.95 | $7,244.36 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,413.10 | Professional | None | $5,248.07 | $5,248.07 | $7,413.10 |
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 $4,168.69 Median $9,332.54 Typical High $9,549.93 | Professional | None | $4,168.69 | $9,332.54 | $9,549.93 |
Health New England Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $9,332.54 Median $10,232.93 Typical High $30,199.52 | Facility | None | $9,332.54 | $10,232.93 | $30,199.52 |
Mass General Brigham Setting Professional Modifier None Typical Low $4,168.69 Median $10,964.78 Typical High $53,703.18 | Professional | None | $4,168.69 | $10,964.78 | $53,703.18 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $12,589.25 | Facility | None | $4,365.16 | $5,128.61 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $9,772.37 | Professional | None | $3,548.13 | $5,370.32 | $9,772.37 |
Well Sense Setting Facility Modifier None Typical Low $9,549.93 Median $12,589.25 Typical High $18,620.87 | Facility | None | $9,549.93 | $12,589.25 | $18,620.87 |
Well Sense Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $8,317.64 | Professional | None | $6,918.31 | $6,918.31 | $8,317.64 |
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 $2,344.23 Median $2,344.23 Typical High $10,715.19 | Professional | 52 · Reduced service | $2,344.23 | $2,344.23 | $10,715.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $4,265.80 | Professional | 53 · Discontinued | $933.25 | $933.25 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $691.83 Typical High $3,162.28 | Professional | 55 · Aftercare only | $691.83 | $691.83 | $3,162.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $467.74 Typical High $2,137.96 | Professional | 56 · Pre-op care only | $467.74 | $467.74 | $2,137.96 |
Where Massachusetts sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 13th of 51
$8,710
HI $11,220NJ $5,248
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.