How much rates vary
Facilitymedian $1,445 · 10th to 90th $724 to $5,370Professionalmedian $2,089 · 10th to 90th $1,175 to $4,898
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 $1,174.90 Median $1,513.56 Typical High $4,265.80 | Facility | None | $1,174.90 | $1,513.56 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $3,388.44 | Professional | None | $1,174.90 | $1,513.56 | $3,388.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $2,344.23 Typical High $5,888.44 | Facility | None | $691.83 | $2,344.23 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $2,344.23 Typical High $10,471.29 | Professional | None | $1,023.29 | $2,344.23 | $10,471.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,290.87 | Facility | None | $1,023.29 | $1,023.29 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $1,380.38 | Facility | None | $446.68 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,862.09 | $3,235.94 |
Fallon Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $3,311.31 | Facility | None | $1,023.29 | $1,288.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,778.28 | $2,089.30 | $2,398.83 |
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 $1,348.96 Median $2,290.87 Typical High $4,168.69 | Professional | None | $1,348.96 | $2,290.87 | $4,168.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $2,344.23 Typical High $5,888.44 | Facility | None | $691.83 | $2,344.23 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,023.29 Median $2,344.23 Typical High $10,471.29 | Professional | None | $1,023.29 | $2,344.23 | $10,471.29 |
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 $1,412.54 Median $1,995.26 Typical High $4,897.79 | Professional | None | $1,412.54 | $1,995.26 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,778.28 | Facility | None | $602.56 | $1,122.02 | $1,778.28 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,258.93 | Professional | None | $851.14 | $1,047.13 | $1,258.93 |
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 $588.84 Median $758.58 Typical High $1,698.24 | Professional | 52 · Reduced service | $588.84 | $758.58 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $302.00 Typical High $691.83 | Professional | 53 · Discontinued | $234.42 | $302.00 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $223.87 Typical High $512.86 | Professional | 55 · Aftercare only | $173.78 | $223.87 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $151.36 Typical High $338.84 | Professional | 56 · Pre-op care only | $117.49 | $151.36 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,047.13 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $812.83 | $1,047.13 | $2,398.83 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $676.08 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $549.54 | $676.08 | $912.01 |
Where Massachusetts sits
The same service costs 5.0 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· 10th of 51
$2,042
AK $4,169TX $832
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.