How much rates vary
Facilitymedian $3,715 · 10th to 90th $676 to $30,903Professionalmedian $776 · 10th to 90th $447 to $2,512
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 $2,691.53 Median $3,467.37 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,467.37 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $4,677.35 Typical High $21,379.62 | Facility | None | $1,737.80 | $4,677.35 | $21,379.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $524.81 Median $1,737.80 Typical High $2,511.89 | Professional | None | $524.81 | $1,737.80 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $28,840.32 Typical High $36,307.81 | Facility | None | $676.08 | $28,840.32 | $36,307.81 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $562.34 Typical High $5,888.44 | Facility | None | $83.18 | $562.34 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | None | $467.74 | $467.74 | $562.34 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,737.80 Median $4,677.35 Typical High $25,118.86 | Facility | None | $1,737.80 | $4,677.35 | $25,118.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,819.70 | Professional | None | $446.68 | $831.76 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,737.80 Median $4,677.35 Typical High $21,379.62 | Facility | None | $1,737.80 | $4,677.35 | $21,379.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $524.81 Median $1,737.80 Typical High $2,511.89 | Professional | None | $524.81 | $1,737.80 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $5,754.40 Typical High $51,286.14 | Facility | None | $1,778.28 | $5,754.40 | $51,286.14 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,737.80 | Professional | None | $501.19 | $660.69 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,630.78 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
5 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 $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Where Massachusetts sits
The same service costs 57.5 times more in Arkansas than in New York. 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· 28th of 51
$1,047
AR $17,783NY $309
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.