How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,042 to $7,943Professionalmedian $3,548 · 10th to 90th $3,467 to $19,055
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 $3,548.13 Median $3,548.13 Typical High $5,128.61 | Facility | None | $3,548.13 | $3,548.13 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,467.37 | $3,548.13 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3,467.37 Median $6,165.95 Typical High $19,054.61 | Professional | None | $3,467.37 | $6,165.95 | $19,054.61 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,981.07 Median $4,570.88 Typical High $8,317.64 | Facility | None | $3,981.07 | $4,570.88 | $8,317.64 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $4,168.69 | Professional | None | $2,951.21 | $3,630.78 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $7,413.10 Typical High $15,488.17 | Facility | None | $4,570.88 | $7,413.10 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $2,238.72 Typical High $6,918.31 | Facility | None | $83.18 | $2,238.72 | $6,918.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $4,265.80 | Professional | None | $3,467.37 | $3,548.13 | $4,265.80 |
Health New England Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $3,467.37 Median $6,165.95 Typical High $19,054.61 | Professional | None | $3,467.37 | $6,165.95 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $5,248.07 | Professional | None | $3,467.37 | $3,467.37 | $5,248.07 |
Well Sense Setting Facility Modifier None Typical Low $4,168.69 Median $5,011.87 Typical High $7,413.10 | Facility | None | $4,168.69 | $5,011.87 | $7,413.10 |
Well Sense Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,265.80 | Professional | None | $3,548.13 | $3,548.13 | $4,265.80 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $354.81 |
Where Massachusetts sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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
$3,548
NC $5,370NE $3,388
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.