How much rates vary
Facilitymedian $1,514 · 10th to 90th $676 to $5,012Professionalmedian $1,585 · 10th to 90th $776 to $6,026
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 $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $2,137.96 | Professional | None | $660.69 | $660.69 | $2,137.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $1,819.70 Typical High $5,011.87 | Facility | None | $549.54 | $1,819.70 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $891.25 Median $2,187.76 Typical High $6,025.60 | Professional | None | $891.25 | $2,187.76 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,659.59 Typical High $2,398.83 | Facility | None | $446.68 | $1,659.59 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $2,137.96 | Professional | None | $1,000.00 | $1,023.29 | $2,137.96 |
Fallon Health Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $3,311.31 | Facility | None | $912.01 | $1,148.15 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,174.90 | $1,380.38 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $2,691.53 | Professional | None | $977.24 | $1,819.70 | $2,691.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $1,819.70 Typical High $5,011.87 | Facility | None | $549.54 | $1,819.70 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $891.25 Median $2,187.76 Typical High $6,025.60 | Professional | None | $891.25 | $2,187.76 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $3,090.30 | Professional | None | $724.44 | $1,230.27 | $3,090.30 |
Well Sense Setting Facility Modifier None Typical Low $616.60 Median $851.14 Typical High $1,348.96 | Facility | None | $616.60 | $851.14 | $1,348.96 |
Well Sense Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None | $602.56 | $602.56 | $724.44 |
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 $331.13 Median $331.13 Typical High $1,071.52 | Professional | 52 · Reduced service | $331.13 | $331.13 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $426.58 | Professional | 53 · Discontinued | $134.90 | $134.90 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $1,621.81 | Professional | 54 · Surgery only | $501.19 | $501.19 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $323.59 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $213.80 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $1,513.56 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $141.25 Typical High $173.78 | Professional | AS · PA/NP assist | $125.89 | $141.25 | $173.78 |
Where Massachusetts sits
The same service costs 7.6 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· 11th of 51
$1,549
AK $3,631TX $479
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.