How much rates vary
Facilitymedian $1,514 · 10th to 90th $708 to $5,012Professionalmedian $1,622 · 10th to 90th $813 to $6,166
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 $707.95 Median $707.95 Typical High $2,290.87 | Professional | None | $707.95 | $707.95 | $2,290.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $5,011.87 | Facility | None | $512.86 | $1,819.70 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $912.01 Median $2,238.72 Typical High $6,165.95 | Professional | None | $912.01 | $2,238.72 | $6,165.95 |
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 $1,047.13 Median $1,071.52 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,071.52 | $2,238.72 |
Fallon Health Setting Facility Modifier None Typical Low $933.25 Median $1,202.26 Typical High $3,311.31 | Facility | None | $933.25 | $1,202.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,230.27 | $1,445.44 |
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 $1,023.29 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,905.46 | $2,818.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $5,011.87 | Facility | None | $512.86 | $1,819.70 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $912.01 Median $2,238.72 Typical High $6,165.95 | Professional | None | $912.01 | $2,238.72 | $6,165.95 |
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 $794.33 Median $1,288.25 Typical High $3,235.94 | Professional | None | $794.33 | $1,288.25 | $3,235.94 |
Well Sense Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,380.38 | Facility | None | $588.84 | $851.14 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | None | $645.65 | $645.65 | $776.25 |
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 $354.81 Median $354.81 Typical High $1,122.02 | Professional | 52 · Reduced service | $354.81 | $354.81 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $457.09 | Professional | 53 · Discontinued | $141.25 | $141.25 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $1,698.24 | Professional | 54 · Surgery only | $524.81 | $524.81 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $338.84 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $229.09 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $147.91 Typical High $181.97 | Professional | AS · PA/NP assist | $128.82 | $147.91 | $181.97 |
Where Massachusetts sits
The same service costs 7.1 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· 12th of 51
$1,585
AK $3,802TX $537
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.