How much rates vary
Facilitymedian $1,778 · 10th to 90th $724 to $5,370Professionalmedian $2,630 · 10th to 90th $1,445 to $6,310
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 $1,445.44 Median $1,778.28 Typical High $5,248.07 | Facility | None | $1,445.44 | $1,778.28 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $4,365.16 | Professional | None | $1,445.44 | $1,778.28 | $4,365.16 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $5,888.44 | Facility | None | $724.44 | $2,818.38 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $12,882.50 | Professional | None | $1,288.25 | $2,884.03 | $12,882.50 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,951.21 | Facility | None | $1,288.25 | $1,288.25 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,096.48 Typical High $1,584.89 | Facility | None | $446.68 | $1,096.48 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $4,073.80 | Professional | None | $1,737.80 | $2,238.72 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,621.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,511.89 | $2,951.21 |
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 $1,698.24 Median $2,884.03 Typical High $4,897.79 | Professional | None | $1,698.24 | $2,884.03 | $4,897.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $5,888.44 | Facility | None | $724.44 | $2,818.38 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $12,882.50 | Professional | None | $1,288.25 | $2,884.03 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,964.78 | Facility | None | $1,071.52 | $3,467.37 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $6,309.57 | Professional | None | $1,819.70 | $2,570.40 | $6,309.57 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $2,290.87 | Facility | None | $691.83 | $1,380.38 | $2,290.87 |
Well Sense Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,318.26 | $1,548.82 |
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 $724.44 Median $891.25 Typical High $2,187.76 | Professional | 52 · Reduced service | $724.44 | $891.25 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $354.81 Typical High $870.96 | Professional | 53 · Discontinued | $288.40 | $354.81 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $269.15 Typical High $660.69 | Professional | 55 · Aftercare only | $213.80 | $269.15 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $177.83 Typical High $436.52 | Professional | 56 · Pre-op care only | $144.54 | $177.83 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,258.93 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,258.93 | $3,090.30 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $831.76 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $707.95 | $831.76 | $1,122.02 |
Where Massachusetts sits
The same service costs 5.1 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
$2,570
AK $5,248TX $1,023
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.