How much rates vary
Facilitymedian $380 · 10th to 90th $138 to $2,239Professionalmedian $513 · 10th to 90th $263 to $1,096
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 $741.31 Median $2,187.76 Typical High $3,630.78 | Facility | None | $741.31 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $741.31 | Professional | None | $208.93 | $263.03 | $741.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $501.19 Typical High $1,862.09 | Facility | None | $138.04 | $501.19 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $275.42 Median $645.65 Typical High $2,570.40 | Professional | None | $275.42 | $645.65 | $2,570.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $630.96 | Facility | None | $275.42 | $331.13 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $707.95 | Professional | None | $275.42 | $457.09 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $389.05 Typical High $489.78 | Facility | None | $199.53 | $389.05 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $851.14 | Professional | None | $316.23 | $407.38 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $3,311.31 | Facility | None | $177.83 | $331.13 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $602.56 | Professional | None | $436.52 | $512.86 | $602.56 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $977.24 | Professional | None | $323.59 | $616.60 | $977.24 |
Health New England Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $501.19 Typical High $1,862.09 | Facility | None | $138.04 | $501.19 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $275.42 Median $645.65 Typical High $2,570.40 | Professional | None | $275.42 | $645.65 | $2,570.40 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,754.23 | Facility | None | $123.03 | $549.54 | $2,754.23 |
United Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $977.24 | Professional | None | $302.00 | $478.63 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $138.04 Median $288.40 Typical High $489.78 | Facility | None | $138.04 | $288.40 | $489.78 |
Well Sense Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | None | $199.53 | $239.88 | $295.12 |
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 $104.71 Median $131.83 Typical High $363.08 | Professional | 52 · Reduced service | $104.71 | $131.83 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $52.48 Typical High $147.91 | Professional | 53 · Discontinued | $41.69 | $52.48 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $194.98 Typical High $549.54 | Professional | 54 · Surgery only | $154.88 | $194.98 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $38.90 Typical High $109.65 | Professional | 55 · Aftercare only | $31.62 | $38.90 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $26.30 Typical High $74.13 | Professional | 56 · Pre-op care only | $20.89 | $26.30 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $181.97 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $144.54 | $181.97 | $512.86 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $549.54 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $323.59 | $549.54 | $724.44 |
Where Massachusetts sits
The same service costs 4.7 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· 8th of 51
$501
AK $1,122TX $240
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.