How much rates vary
Facilitymedian $2,818 · 10th to 90th $575 to $22,387Professionalmedian $871 · 10th to 90th $575 to $4,677
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 $1,949.84 Median $3,235.94 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
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 $676.08 Median $2,238.72 Typical High $4,677.35 | Professional | None | $676.08 | $2,238.72 | $4,677.35 |
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 $562.34 Median $741.31 Typical High $1,380.38 | Facility | None | $562.34 | $741.31 | $1,380.38 |
Fallon Health Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,023.29 | Professional | None | $575.44 | $741.31 | $1,023.29 |
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 $562.34 Median $1,071.52 Typical High $2,238.72 | Professional | None | $562.34 | $1,071.52 | $2,238.72 |
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 $676.08 Median $2,238.72 Typical High $4,677.35 | Professional | None | $676.08 | $2,238.72 | $4,677.35 |
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 $616.60 Median $831.76 Typical High $2,238.72 | Professional | None | $616.60 | $831.76 | $2,238.72 |
Well Sense Setting Facility Modifier None Typical Low $426.58 Median $2,754.23 Typical High $4,897.79 | Facility | None | $426.58 | $2,754.23 | $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 $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Where Massachusetts sits
The same service costs 29.5 times more in Louisiana than in Maine. 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· 30th of 51
$1,047
LA $16,982ME $575
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.