How much rates vary
Facilitymedian $3,631 · 10th to 90th $955 to $12,882Professionalmedian $2,630 · 10th to 90th $1,698 to $9,550
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 $3,388.44 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,388.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $8,709.64 | Facility | None | $891.25 | $3,890.45 | $8,709.64 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $5,128.61 Typical High $9,549.93 | Professional | None | $1,995.26 | $5,128.61 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $11,220.18 Typical High $14,454.40 | Facility | None | $676.08 | $11,220.18 | $14,454.40 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $2,137.96 Typical High $5,888.44 | Facility | None | $83.18 | $2,137.96 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,819.70 | $1,819.70 | $2,137.96 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $4,786.30 | Professional | None | $1,698.24 | $3,090.30 | $4,786.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $8,709.64 | Facility | None | $891.25 | $3,890.45 | $8,709.64 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,995.26 Median $5,128.61 Typical High $9,549.93 | Professional | None | $1,995.26 | $5,128.61 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,982.44 | Facility | None | $1,071.52 | $3,890.45 | $16,982.44 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $6,309.57 | Professional | None | $1,778.28 | $2,454.71 | $6,309.57 |
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 $831.76 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $831.76 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $338.84 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,258.93 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Where Massachusetts sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 17th of 51
$2,951
AK $6,457IN $1,318
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.