How much rates vary
Facilitymedian $1,148 · 10th to 90th $575 to $4,677Professionalmedian $1,122 · 10th to 90th $562 to $4,467
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 $426.58 Median $426.58 Typical High $1,479.11 | Professional | None | $426.58 | $426.58 | $1,479.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,659.59 Typical High $5,011.87 | Facility | None | $676.08 | $1,659.59 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,621.81 Typical High $4,466.84 | Professional | None | $660.69 | $1,621.81 | $4,466.84 |
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 $741.31 Median $758.58 Typical High $1,584.89 | Professional | None | $741.31 | $758.58 | $1,584.89 |
Fallon Health Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $3,311.31 | Facility | None | $676.08 | $851.14 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,023.29 | Professional | None | $758.58 | $870.96 | $1,023.29 |
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 $1,348.96 Typical High $1,995.26 | Professional | None | $724.44 | $1,348.96 | $1,995.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $676.08 Median $1,659.59 Typical High $5,011.87 | Facility | None | $676.08 | $1,659.59 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $660.69 Median $1,621.81 Typical High $4,466.84 | Professional | None | $660.69 | $1,621.81 | $4,466.84 |
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 $501.19 Median $891.25 Typical High $2,238.72 | Professional | None | $501.19 | $891.25 | $2,238.72 |
Well Sense Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,047.13 | Facility | None | $501.19 | $741.31 | $1,047.13 |
Well Sense Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
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 $213.80 Median $213.80 Typical High $741.31 | Professional | 52 · Reduced service | $213.80 | $213.80 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $295.12 | Professional | 53 · Discontinued | $85.11 | $85.11 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $1,122.02 | Professional | 54 · Surgery only | $323.59 | $323.59 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $223.87 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $147.91 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $1,047.13 |
Where Massachusetts sits
The same service costs 7.2 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
$1,148
AK $2,630TX $363
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.