How much rates vary
Facilitymedian $100 · 10th to 90th $27 to $2,951Professionalmedian $257 · 10th to 90th $31 to $891
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 $32.36 Median $346.74 Typical High $537.03 | Facility | None | $32.36 | $346.74 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $501.19 | Professional | None | $32.36 | $32.36 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $25.12 Median $891.25 Typical High $891.25 | Professional | None | $25.12 | $891.25 | $891.25 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service + 53 · Discontinued + 74 · Stopped after anesthesia + 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $537.03 | Professional | 52 · Reduced service + 53 · Discontinued + 74 · Stopped after anesthesia + 78 · Unplanned return to OR | $288.40 | $288.40 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $288.40 Typical High $467.74 | Professional | None | $120.23 | $288.40 | $467.74 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $5,888.44 | Facility | None | $21.38 | $30.20 | $5,888.44 |
Health New England Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $512.86 | Professional | None | $204.17 | $263.03 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $25.12 Median $891.25 Typical High $891.25 | Professional | None | $25.12 | $891.25 | $891.25 |
Tufts Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | None | $79.43 | $97.72 | $151.36 |
United Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $95.50 | Professional | None | $70.79 | $81.28 | $95.50 |
Well Sense Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $186.21 | Facility | None | $87.10 | $112.20 | $186.21 |
Well Sense Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None | $79.43 | $79.43 | $95.50 |
1 more rate 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 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $8.32 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.32 |