How much rates vary
Facilitymedian $1,072 · 10th to 90th $661 to $3,631Professionalmedian $1,445 · 10th to 90th $676 to $3,090
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $1,737.80 | Professional | None | $549.54 | $676.08 | $1,737.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,737.80 Typical High $5,011.87 | Facility | None | $676.08 | $1,737.80 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,737.80 Typical High $6,918.31 | Professional | None | $724.44 | $1,737.80 | $6,918.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,698.24 | Facility | None | $741.31 | $741.31 | $1,698.24 |
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 $812.83 Median $1,023.29 Typical High $2,137.96 | Professional | None | $812.83 | $1,023.29 | $2,137.96 |
Fallon Health Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $3,311.31 | Facility | None | $741.31 | $933.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,380.38 | $1,659.59 |
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 $794.33 Median $1,698.24 Typical High $2,691.53 | Professional | None | $794.33 | $1,698.24 | $2,691.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $676.08 Median $1,737.80 Typical High $5,011.87 | Facility | None | $676.08 | $1,737.80 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $724.44 Median $1,737.80 Typical High $6,918.31 | Professional | None | $724.44 | $1,737.80 | $6,918.31 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $8,709.64 | Facility | None | $575.44 | $1,380.38 | $8,709.64 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,148.15 Typical High $2,511.89 | Professional | None | $676.08 | $1,148.15 | $2,511.89 |
Well Sense Setting Facility Modifier None Typical Low $575.44 Median $851.14 Typical High $1,258.93 | Facility | None | $575.44 | $851.14 | $1,258.93 |
Well Sense Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $676.08 | Professional | None | $478.63 | $562.34 | $676.08 |
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 $275.42 Median $331.13 Typical High $851.14 | Professional | 52 · Reduced service | $275.42 | $331.13 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $134.90 Typical High $346.74 | Professional | 53 · Discontinued | $109.65 | $134.90 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $501.19 Typical High $1,288.25 | Professional | 54 · Surgery only | $416.87 | $501.19 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $100.00 Typical High $257.04 | Professional | 55 · Aftercare only | $83.18 | $100.00 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $67.61 Typical High $173.78 | Professional | 56 · Pre-op care only | $54.95 | $67.61 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $467.74 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $389.05 | $467.74 | $1,202.26 |
Where Massachusetts sits
The same service costs 4.9 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
$1,380
AK $2,884TX $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.