How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,399 to $6,310Professionalmedian $2,570 · 10th to 90th $1,349 to $22,909
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 $1,513.56 Median $1,513.56 Typical High $6,918.31 | Facility | None | $1,513.56 | $1,513.56 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $6,918.31 | Professional | None | $1,513.56 | $1,513.56 | $6,918.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $9,772.37 | Facility | None | $3,311.31 | $3,311.31 | $9,772.37 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $3,548.13 Typical High $22,908.68 | Professional | None | $1,348.96 | $3,548.13 | $22,908.68 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,890.45 Median $4,570.88 Typical High $6,025.60 | Facility | None | $3,890.45 | $4,570.88 | $6,025.60 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,290.87 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $2,454.71 | Facility | None | $1,995.26 | $2,398.83 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
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 $1,348.96 Median $3,019.95 Typical High $3,162.28 | Professional | None | $1,348.96 | $3,019.95 | $3,162.28 |
Health New England Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $9,772.37 | Facility | None | $3,311.31 | $3,311.31 | $9,772.37 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,348.96 Median $3,548.13 Typical High $22,908.68 | Professional | None | $1,348.96 | $3,548.13 | $22,908.68 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,698.24 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,388.44 | Professional | None | $1,148.15 | $1,862.09 | $3,388.44 |
Well Sense Setting Facility Modifier None Typical Low $3,090.30 Median $4,168.69 Typical High $6,165.95 | Facility | None | $3,090.30 | $4,168.69 | $6,165.95 |
Well Sense Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,754.23 | Professional | None | $2,290.87 | $2,290.87 | $2,754.23 |
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 $758.58 Median $758.58 Typical High $3,467.37 | Professional | 52 · Reduced service | $758.58 | $758.58 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $1,380.38 | Professional | 53 · Discontinued | $302.00 | $302.00 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $1,047.13 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $691.83 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $691.83 |
Where Massachusetts sits
The same service costs 2.2 times more in Arkansas 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· 14th of 51
$2,884
AR $3,890DE $1,738
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.