How much rates vary
Facilitymedian $16,218 · 10th to 90th $8,318 to $26,303Professionalmedian $10,715 · 10th to 90th $5,623 to $97,724
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 $6,309.57 Median $6,309.57 Typical High $28,840.32 | Facility | None | $6,309.57 | $6,309.57 | $28,840.32 |
Aetna Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $28,840.32 | Professional | None | $6,309.57 | $6,309.57 | $28,840.32 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13,489.63 Median $13,803.84 Typical High $40,738.03 | Facility | None | $13,489.63 | $13,803.84 | $40,738.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5,623.41 Median $14,791.08 Typical High $97,723.72 | Professional | None | $5,623.41 | $14,791.08 | $97,723.72 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $14,791.08 Median $18,620.87 Typical High $25,118.86 | Facility | None | $14,791.08 | $18,620.87 | $25,118.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9,549.93 Median $12,302.69 Typical High $12,302.69 | Professional | None | $9,549.93 | $12,302.69 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $8,317.64 Median $9,332.54 Typical High $10,232.93 | Facility | None | $8,317.64 | $9,332.54 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $9,549.93 | Professional | None | $6,918.31 | $6,918.31 | $9,549.93 |
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 $5,623.41 Median $12,589.25 Typical High $13,182.57 | Professional | None | $5,623.41 | $12,589.25 | $13,182.57 |
Health New England Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None | $9,120.11 | $9,120.11 | $9,120.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $13,489.63 Median $13,803.84 Typical High $40,738.03 | Facility | None | $13,489.63 | $13,803.84 | $40,738.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $5,623.41 Median $14,791.08 Typical High $97,723.72 | Professional | None | $5,623.41 | $14,791.08 | $97,723.72 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $7,244.36 Typical High $19,498.45 | Facility | None | $6,025.60 | $7,244.36 | $19,498.45 |
United Setting Professional Modifier None Typical Low $4,786.30 Median $7,762.47 Typical High $14,125.38 | Professional | None | $4,786.30 | $7,762.47 | $14,125.38 |
Well Sense Setting Facility Modifier None Typical Low $12,882.50 Median $17,378.01 Typical High $25,703.96 | Facility | None | $12,882.50 | $17,378.01 | $25,703.96 |
Well Sense Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $11,220.18 | Professional | None | $9,549.93 | $9,549.93 | $11,220.18 |
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 $3,162.28 Median $3,162.28 Typical High $14,454.40 | Professional | 52 · Reduced service | $3,162.28 | $3,162.28 | $14,454.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,258.93 Median $1,258.93 Typical High $5,754.40 | Professional | 53 · Discontinued | $1,258.93 | $1,258.93 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $954.99 Median $954.99 Typical High $4,365.16 | Professional | 55 · Aftercare only | $954.99 | $954.99 | $4,365.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $630.96 Median $630.96 Typical High $2,884.03 | Professional | 56 · Pre-op care only | $630.96 | $630.96 | $2,884.03 |
Where Massachusetts sits
The same service costs 2.8 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· 13th of 51
$12,023
MT $19,498DE $6,918
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.