How much rates vary
Facilitymedian $3,467 · 10th to 90th $891 to $8,318Professionalmedian $4,365 · 10th to 90th $2,512 to $18,621
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 $3,235.94 Typical High $5,248.07 | Facility | None | $2,089.30 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $7,079.46 | Professional | None | $2,089.30 | $2,089.30 | $7,079.46 |
AllWays Health Partners Setting Facility Modifier None Typical Low $707.95 Median $3,890.45 Typical High $12,022.64 | Facility | None | $707.95 | $3,890.45 | $12,022.64 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,691.53 Median $6,606.93 Typical High $18,620.87 | Professional | None | $2,691.53 | $6,606.93 | $18,620.87 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,677.35 Typical High $7,079.46 | Facility | None | $831.76 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $7,244.36 | Professional | None | $3,715.35 | $3,715.35 | $7,244.36 |
Fallon Health Setting Facility Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $4,265.80 | Facility | None | $2,238.72 | $3,388.44 | $4,265.80 |
Fallon Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $4,168.69 | Professional | None | $3,090.30 | $3,630.78 | $4,168.69 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3,090.30 Median $5,623.41 Typical High $8,511.38 | Professional | None | $3,090.30 | $5,623.41 | $8,511.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $707.95 Median $3,890.45 Typical High $12,022.64 | Facility | None | $707.95 | $3,890.45 | $12,022.64 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,691.53 Median $6,606.93 Typical High $18,620.87 | Professional | None | $2,691.53 | $6,606.93 | $18,620.87 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,595.87 | Facility | None | $1,071.52 | $3,890.45 | $16,595.87 |
United Setting Professional Modifier None Typical Low $2,951.21 Median $4,168.69 Typical High $12,022.64 | Professional | None | $2,951.21 | $4,168.69 | $12,022.64 |
Well Sense Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $4,168.69 | Facility | None | $1,778.28 | $2,454.71 | $4,168.69 |
Well Sense Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,737.80 | $1,737.80 | $2,344.23 |
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 $1,047.13 Median $1,047.13 Typical High $3,548.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $3,548.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $1,445.44 | Professional | 53 · Discontinued | $426.58 | $426.58 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $5,370.32 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $5,370.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $1,071.52 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $1,071.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $707.95 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $5,011.87 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $5,011.87 |
Where Massachusetts sits
The same service costs 19.5 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· 14th of 51
$4,169
AK $11,482TX $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.