How much rates vary
Facilitymedian $955 · 10th to 90th $575 to $3,631Professionalmedian $1,202 · 10th to 90th $617 to $2,630
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 $1,737.80 Median $2,818.38 Typical High $4,677.35 | Facility | None | $1,737.80 | $2,818.38 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $1,737.80 | Professional | None | $501.19 | $616.60 | $1,737.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,513.56 Typical High $5,888.44 | Professional | None | $616.60 | $1,513.56 | $5,888.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $1,445.44 | Facility | None | $645.65 | $776.25 | $1,445.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,659.59 | Professional | None | $645.65 | $1,096.48 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $2,187.76 | Facility | None | $676.08 | $1,513.56 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,949.84 | Professional | None | $724.44 | $912.01 | $1,949.84 |
Fallon Health Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $3,311.31 | Facility | None | $630.96 | $812.83 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,174.90 | $1,380.38 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $724.44 Median $1,445.44 Typical High $2,290.87 | Professional | None | $724.44 | $1,445.44 | $2,290.87 |
Health New England Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None Typical Low $616.60 Median $1,513.56 Typical High $5,888.44 | Professional | None | $616.60 | $1,513.56 | $5,888.44 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,918.31 | Facility | None | $575.44 | $1,380.38 | $6,918.31 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $2,290.87 | Professional | None | $707.95 | $1,071.52 | $2,290.87 |
Well Sense Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,122.02 | Facility | None | $588.84 | $707.95 | $1,122.02 |
Well Sense Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $691.83 | Professional | None | $478.63 | $575.44 | $691.83 |
6 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 $251.19 Median $309.03 Typical High $870.96 | Professional | 52 · Reduced service | $251.19 | $309.03 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $123.03 Typical High $346.74 | Professional | 53 · Discontinued | $102.33 | $123.03 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $457.09 Typical High $1,288.25 | Professional | 54 · Surgery only | $380.19 | $457.09 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $91.20 Typical High $263.03 | Professional | 55 · Aftercare only | $75.86 | $91.20 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $61.66 Typical High $173.78 | Professional | 56 · Pre-op care only | $50.12 | $61.66 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $426.58 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $354.81 | $426.58 | $1,202.26 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Texas. 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
$1,175
AK $2,630TX $589
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.