How much rates vary
Facilitymedian $269 · 10th to 90th $117 to $2,138Professionalmedian $339 · 10th to 90th $162 to $692
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 $158.49 Median $1,819.70 Typical High $3,388.44 | Facility | None | $158.49 | $1,819.70 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $446.68 | Professional | None | $134.90 | $158.49 | $446.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $97.72 Median $489.78 Typical High $1,862.09 | Facility | None | $97.72 | $489.78 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $165.96 Median $446.68 Typical High $1,621.81 | Professional | None | $165.96 | $446.68 | $1,621.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $457.09 | Facility | None | $199.53 | $239.88 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $199.53 Median $338.84 Typical High $457.09 | Professional | None | $199.53 | $338.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $489.78 | Facility | None | $173.78 | $239.88 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $524.81 | Professional | None | $229.09 | $331.13 | $524.81 |
Fallon Health Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $3,311.31 | Facility | None | $177.83 | $245.47 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $389.05 | Professional | None | $275.42 | $331.13 | $389.05 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $208.93 Median $436.52 Typical High $630.96 | Professional | None | $208.93 | $436.52 | $630.96 |
Health New England Setting Facility Modifier None Typical Low $165.96 Median $457.09 Typical High $602.56 | Facility | None | $165.96 | $457.09 | $602.56 |
Health New England Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $588.84 | Professional | None | $269.15 | $346.74 | $588.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $97.72 Median $489.78 Typical High $1,862.09 | Facility | None | $97.72 | $489.78 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $165.96 Median $446.68 Typical High $1,621.81 | Professional | None | $165.96 | $446.68 | $1,621.81 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,754.23 | Facility | None | $123.03 | $549.54 | $2,754.23 |
United Setting Professional Modifier None Typical Low $162.18 Median $275.42 Typical High $630.96 | Professional | None | $162.18 | $275.42 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $323.59 | Facility | None | $97.72 | $190.55 | $323.59 |
Well Sense Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $158.49 | Professional | None | $114.82 | $131.83 | $158.49 |
7 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 $67.61 Median $79.43 Typical High $213.80 | Professional | 52 · Reduced service | $67.61 | $79.43 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $85.11 | Professional | 53 · Discontinued | $27.54 | $31.62 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $117.49 Typical High $316.23 | Professional | 54 · Surgery only | $102.33 | $117.49 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $23.44 Typical High $63.10 | Professional | 55 · Aftercare only | $20.42 | $23.44 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $15.85 Typical High $42.66 | Professional | 56 · Pre-op care only | $13.49 | $15.85 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $109.65 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $95.50 | $109.65 | $295.12 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $199.53 | $199.53 | $199.53 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Florida. 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· 9th of 51
$339
AK $759FL $174
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.