How much rates vary
Facilitymedian $1,096 · 10th to 90th $389 to $6,166Professionalmedian $912 · 10th to 90th $468 to $2,344
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 $1,148.15 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,148.15 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $1,148.15 Typical High $1,148.15 | Professional | None | $501.19 | $1,148.15 | $1,148.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $501.19 Median $3,019.95 Typical High $9,549.93 | Facility | None | $501.19 | $3,019.95 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $407.38 Median $933.25 Typical High $4,677.35 | Professional | None | $407.38 | $933.25 | $4,677.35 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $870.96 | Facility | None | $380.19 | $457.09 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,890.45 Typical High $5,754.40 | Facility | None | $588.84 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $1,548.82 | Professional | None | $489.78 | $851.14 | $1,548.82 |
Fallon Health Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $3,311.31 | Facility | None | $371.54 | $501.19 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,122.02 | Professional | None | $831.76 | $954.99 | $1,122.02 |
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 $446.68 Median $912.01 Typical High $1,778.28 | Professional | None | $446.68 | $912.01 | $1,778.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $501.19 Median $3,019.95 Typical High $9,549.93 | Facility | None | $501.19 | $3,019.95 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $407.38 Median $933.25 Typical High $4,677.35 | Professional | None | $407.38 | $933.25 | $4,677.35 |
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 $467.74 Median $912.01 Typical High $1,819.70 | Professional | None | $467.74 | $912.01 | $1,819.70 |
Well Sense Setting Facility Modifier None Typical Low $323.59 Median $630.96 Typical High $1,905.46 | Facility | None | $323.59 | $630.96 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $630.96 | Professional | None | $288.40 | $389.05 | $630.96 |
7 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 $251.19 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $251.19 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $100.00 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $371.54 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $169.82 Typical High $173.78 | Professional | 55 · Aftercare only | $75.86 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $50.12 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $794.33 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $346.74 | $794.33 | $812.83 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $275.42 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $186.21 | $275.42 | $457.09 |
Where Massachusetts sits
The same service costs 4.9 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· 9th of 51
$912
AK $1,862TX $380
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.