How much rates vary
Facilitymedian $2,951 · 10th to 90th $759 to $7,586Professionalmedian $6,457 · 10th to 90th $1,660 to $34,674
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $2,344.23 Typical High $5,888.44 | Facility | None | $758.58 | $2,344.23 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $9,332.54 Typical High $34,673.69 | Professional | None | $2,344.23 | $9,332.54 | $34,673.69 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,949.84 Typical High $2,818.38 | Facility | None | $446.68 | $1,949.84 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $11,220.18 | Professional | None | $5,623.41 | $5,623.41 | $11,220.18 |
Fallon Health Setting Facility Modifier None Typical Low $794.33 Median $6,456.54 Typical High $7,585.78 | Facility | None | $794.33 | $6,456.54 | $7,585.78 |
Fallon Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,585.78 | Professional | None | $6,456.54 | $6,456.54 | $7,585.78 |
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 $3,548.13 Median $10,471.29 Typical High $14,791.08 | Professional | None | $3,548.13 | $10,471.29 | $14,791.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $2,344.23 Typical High $5,888.44 | Facility | None | $758.58 | $2,344.23 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,344.23 Median $9,332.54 Typical High $34,673.69 | Professional | None | $2,344.23 | $9,332.54 | $34,673.69 |
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 $1,862.09 Median $4,466.84 Typical High $14,125.38 | Professional | None | $1,862.09 | $4,466.84 | $14,125.38 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $3,090.30 Typical High $4,365.16 | Facility | None | $891.25 | $3,090.30 | $4,365.16 |
Well Sense Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $645.65 | Professional | None | $478.63 | $478.63 | $645.65 |
5 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 $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Where Massachusetts sits
The same service costs 21.4 times more in Alaska than in Kentucky. 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· 5th of 51
$6,166
AK $13,804KY $646
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.