How much rates vary
Facilitymedian $14,454 · 10th to 90th $7,586 to $22,909Professionalmedian $9,333 · 10th to 90th $5,012 to $83,176
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 $5,623.41 Median $5,623.41 Typical High $25,703.96 | Facility | None | $5,623.41 | $5,623.41 | $25,703.96 |
Aetna Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $25,703.96 | Professional | None | $5,623.41 | $5,623.41 | $25,703.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12,022.64 Median $12,302.69 Typical High $36,307.81 | Facility | None | $12,022.64 | $12,302.69 | $36,307.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5,011.87 Median $13,182.57 Typical High $83,176.38 | Professional | None | $5,011.87 | $13,182.57 | $83,176.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $13,182.57 Median $16,595.87 Typical High $22,387.21 | Facility | None | $13,182.57 | $16,595.87 | $22,387.21 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8,511.38 Median $11,481.54 Typical High $11,481.54 | Professional | None | $8,511.38 | $11,481.54 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $9,120.11 Typical High $9,120.11 | Facility | None | $7,585.78 | $9,120.11 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $9,120.11 | Professional | None | $6,606.93 | $6,606.93 | $9,120.11 |
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 $5,011.87 Median $11,220.18 Typical High $11,748.98 | Professional | None | $5,011.87 | $11,220.18 | $11,748.98 |
Health New England Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $12,022.64 Median $12,302.69 Typical High $36,307.81 | Facility | None | $12,022.64 | $12,302.69 | $36,307.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $5,011.87 Median $13,182.57 Typical High $83,176.38 | Professional | None | $5,011.87 | $13,182.57 | $83,176.38 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $16,595.87 | Facility | None | $5,128.61 | $6,165.95 | $16,595.87 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $6,918.31 Typical High $12,589.25 | Professional | None | $4,265.80 | $6,918.31 | $12,589.25 |
Well Sense Setting Facility Modifier None Typical Low $11,481.54 Median $15,488.17 Typical High $22,908.68 | Facility | None | $11,481.54 | $15,488.17 | $22,908.68 |
Well Sense Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $10,232.93 | Professional | None | $8,511.38 | $8,511.38 | $10,232.93 |
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 $2,818.38 Median $2,818.38 Typical High $12,882.50 | Professional | 52 · Reduced service | $2,818.38 | $2,818.38 | $12,882.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,122.02 Median $1,122.02 Typical High $5,128.61 | Professional | 53 · Discontinued | $1,122.02 | $1,122.02 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $851.14 Median $851.14 Typical High $3,890.45 | Professional | 55 · Aftercare only | $851.14 | $851.14 | $3,890.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $562.34 Median $562.34 Typical High $2,570.40 | Professional | 56 · Pre-op care only | $562.34 | $562.34 | $2,570.40 |
Where Massachusetts sits
The same service costs 2.5 times more in Montana 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· 15th of 51
$10,715
MT $16,596DE $6,607
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.