How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,000 to $7,244Professionalmedian $2,089 · 10th to 90th $1,259 to $12,882
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 $1,949.84 Median $3,235.94 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,801.89 | Professional | None | $1,258.93 | $1,258.93 | $3,801.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $11,748.98 | Facility | None | $758.58 | $3,467.37 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,318.26 Median $3,235.94 Typical High $12,882.50 | Professional | None | $1,318.26 | $3,235.94 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,981.07 Typical High $5,888.44 | Facility | None | $741.31 | $3,981.07 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,467.37 | Professional | None | $1,778.28 | $1,778.28 | $3,467.37 |
Fallon Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,698.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,737.80 | $2,041.74 |
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 $1,445.44 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,445.44 | $2,691.53 | $3,890.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $11,748.98 | Facility | None | $758.58 | $3,467.37 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,318.26 Median $3,235.94 Typical High $12,882.50 | Professional | None | $1,318.26 | $3,235.94 | $12,882.50 |
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 $1,513.56 Median $2,089.30 Typical High $6,025.60 | Professional | None | $1,513.56 | $2,089.30 | $6,025.60 |
Well Sense Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,380.38 | $2,089.30 |
Well Sense Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
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 $630.96 Median $630.96 Typical High $1,905.46 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $758.58 | Professional | 53 · Discontinued | $251.19 | $251.19 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $2,818.38 | Professional | 54 · Surgery only | $933.25 | $933.25 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $562.34 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $380.19 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $2,630.27 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $371.54 Median $371.54 Typical High $645.65 | Professional | 82 · Assistant surgeon, no resident | $371.54 | $371.54 | $645.65 |
Where Massachusetts sits
The same service costs 15.1 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· 18th of 51
$2,089
AK $5,370TX $355
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.