How much rates vary
Facilitymedian $257 · 10th to 90th $132 to $2,239Professionalmedian $380 · 10th to 90th $174 to $912
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 $223.87 Median $2,137.96 Typical High $3,388.44 | Facility | None | $223.87 | $2,137.96 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $478.63 | Professional | None | $128.82 | $199.53 | $478.63 |
AllWays Health Partners Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $1,862.09 | Facility | None | $125.89 | $363.08 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $190.55 Median $416.87 Typical High $2,089.30 | Professional | None | $190.55 | $416.87 | $2,089.30 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $389.05 | Facility | None | $169.82 | $204.17 | $389.05 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $588.84 | Professional | None | $169.82 | $338.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $269.15 Typical High $380.19 | Facility | None | $53.70 | $269.15 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $371.54 Typical High $724.44 | Professional | None | $208.93 | $371.54 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $3,311.31 | Facility | None | $165.96 | $218.78 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $501.19 | Professional | None | $363.08 | $426.58 | $501.19 |
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 $194.98 Median $398.11 Typical High $812.83 | Professional | None | $194.98 | $398.11 | $812.83 |
Health New England Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $676.08 | Facility | None | $223.87 | $426.58 | $676.08 |
Health New England Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $891.25 | Professional | None | $407.38 | $457.09 | $891.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $1,862.09 | Facility | None | $125.89 | $363.08 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $190.55 Median $416.87 Typical High $2,089.30 | Professional | None | $190.55 | $416.87 | $2,089.30 |
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 $186.21 Median $354.81 Typical High $812.83 | Professional | None | $186.21 | $354.81 | $812.83 |
Well Sense Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $331.13 | Facility | None | $138.04 | $208.93 | $331.13 |
Well Sense Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $234.42 | Professional | None | $131.83 | $154.88 | $234.42 |
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 $64.57 Median $100.00 Typical High $234.42 | Professional | 52 · Reduced service | $64.57 | $100.00 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $39.81 Typical High $93.33 | Professional | 53 · Discontinued | $25.70 | $39.81 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $147.91 Typical High $346.74 | Professional | 54 · Surgery only | $97.72 | $147.91 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $29.51 Typical High $70.79 | Professional | 55 · Aftercare only | $19.50 | $29.51 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $19.95 Typical High $46.77 | Professional | 56 · Pre-op care only | $12.88 | $19.95 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $138.04 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $91.20 | $138.04 | $323.59 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $457.09 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $269.15 | $457.09 | $616.60 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 7th of 51
$380
AK $692KY $204
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.