How much rates vary
Facilitymedian $2,570 · 10th to 90th $851 to $7,079Professionalmedian $1,905 · 10th to 90th $1,122 to $10,000
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $3,548.13 | Professional | None | $1,122.02 | $1,122.02 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $9,549.93 | Facility | None | $588.84 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $10,000.00 | Professional | None | $1,096.48 | $2,691.53 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,570.88 Typical High $5,888.44 | Facility | None | $676.08 | $4,570.88 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,513.56 | $1,513.56 | $3,019.95 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $3,311.31 | Facility | None | $1,148.15 | $1,412.54 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,445.44 | $1,698.24 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,230.27 | $2,290.87 | $3,548.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $9,549.93 | Facility | None | $588.84 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $10,000.00 | Professional | None | $1,096.48 | $2,691.53 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $5,370.32 | Professional | None | $1,348.96 | $1,778.28 | $5,370.32 |
Well Sense Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,778.28 | Facility | None | $851.14 | $1,148.15 | $1,778.28 |
Well Sense Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
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 $562.34 Median $562.34 Typical High $1,778.28 | Professional | 52 · Reduced service | $562.34 | $562.34 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $707.95 | Professional | 53 · Discontinued | $223.87 | $223.87 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $2,630.27 | Professional | 54 · Surgery only | $831.76 | $831.76 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $524.81 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $354.81 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $2,454.71 |
Where Massachusetts sits
The same service costs 16.6 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· 13th of 51
$1,950
AK $4,677TX $282
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.