How much rates vary
Facilitymedian $2,818 · 10th to 90th $603 to $6,457Professionalmedian $4,365 · 10th to 90th $1,995 to $21,878
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 $2,089.30 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,737.80 | $1,737.80 | $2,089.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $2,187.76 Typical High $7,762.47 | Facility | None | $549.54 | $2,187.76 | $7,762.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $21,877.62 | Professional | None | $2,290.87 | $5,754.40 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,570.40 Typical High $3,715.35 | Facility | None | $446.68 | $2,570.40 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $5,754.40 | Professional | None | $2,630.27 | $2,691.53 | $5,754.40 |
Fallon Health Setting Facility Modifier None Typical Low $380.19 Median $3,090.30 Typical High $5,888.44 | Facility | None | $380.19 | $3,090.30 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,090.30 | $3,630.78 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,691.53 Median $5,128.61 Typical High $7,079.46 | Professional | None | $2,691.53 | $5,128.61 | $7,079.46 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $2,187.76 Typical High $7,762.47 | Facility | None | $549.54 | $2,187.76 | $7,762.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $21,877.62 | Professional | None | $2,290.87 | $5,754.40 | $21,877.62 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $8,317.64 | Professional | None | $1,995.26 | $3,388.44 | $8,317.64 |
Well Sense Setting Facility Modifier None Typical Low $1,288.25 Median $3,090.30 Typical High $4,365.16 | Facility | None | $1,288.25 | $3,090.30 | $4,365.16 |
Well Sense Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,122.02 | $1,122.02 | $1,348.96 |
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 $870.96 Median $870.96 Typical High $1,047.13 | Professional | 52 · Reduced service | $870.96 | $870.96 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | 53 · Discontinued | $346.74 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $208.93 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $389.05 Typical High $489.78 | Professional | AS · PA/NP assist | $346.74 | $389.05 | $489.78 |
Where Massachusetts sits
The same service costs 7.1 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· 9th of 51
$3,715
AK $9,772KY $1,380
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.