How much rates vary
Facilitymedian $22,387 · 10th to 90th $11,482 to $35,481Professionalmedian $13,490 · 10th to 90th $7,762 to $117,490
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 $8,709.64 Median $8,709.64 Typical High $39,810.72 | Facility | None | $8,709.64 | $8,709.64 | $39,810.72 |
Aetna Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $39,810.72 | Professional | None | $8,709.64 | $8,709.64 | $39,810.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $17,782.79 Median $19,054.61 Typical High $56,234.13 | Facility | None | $17,782.79 | $19,054.61 | $56,234.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7,762.47 Median $20,417.38 Typical High $117,489.76 | Professional | None | $7,762.47 | $20,417.38 | $117,489.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20,417.38 Median $25,703.96 Typical High $34,673.69 | Facility | None | $20,417.38 | $25,703.96 | $34,673.69 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13,182.57 Median $17,782.79 Typical High $17,782.79 | Professional | None | $13,182.57 | $17,782.79 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $11,481.54 Median $12,589.25 Typical High $13,489.63 | Facility | None | $11,481.54 | $12,589.25 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
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 $7,762.47 Median $17,378.01 Typical High $17,782.79 | Professional | None | $7,762.47 | $17,378.01 | $17,782.79 |
Health New England Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $17,782.79 Median $19,054.61 Typical High $56,234.13 | Facility | None | $17,782.79 | $19,054.61 | $56,234.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $7,762.47 Median $20,417.38 Typical High $117,489.76 | Professional | None | $7,762.47 | $20,417.38 | $117,489.76 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $23,988.33 | Facility | None | $7,943.28 | $9,332.54 | $23,988.33 |
United Setting Professional Modifier None Typical Low $6,606.93 Median $10,232.93 Typical High $18,197.01 | Professional | None | $6,606.93 | $10,232.93 | $18,197.01 |
Well Sense Setting Facility Modifier None Typical Low $17,782.79 Median $23,988.33 Typical High $35,481.34 | Facility | None | $17,782.79 | $23,988.33 | $35,481.34 |
Well Sense Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $15,848.93 | Professional | None | $13,182.57 | $13,182.57 | $15,848.93 |
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 $4,365.16 Median $4,365.16 Typical High $19,952.62 | Professional | 52 · Reduced service | $4,365.16 | $4,365.16 | $19,952.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,737.80 Median $1,737.80 Typical High $7,943.28 | Professional | 53 · Discontinued | $1,737.80 | $1,737.80 | $7,943.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,318.26 Typical High $6,025.60 | Professional | 55 · Aftercare only | $1,318.26 | $1,318.26 | $6,025.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $870.96 Median $870.96 Typical High $3,981.07 | Professional | 56 · Pre-op care only | $870.96 | $870.96 | $3,981.07 |
Where Massachusetts sits
The same service costs 2.5 times more in Montana than in Florida. 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· 11th of 51
$16,596
MT $22,387FL $9,120
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.