How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,072 to $7,586Professionalmedian $2,570 · 10th to 90th $1,585 to $14,791
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 $1,584.89 Median $1,584.89 Typical High $4,570.88 | Professional | None | $1,584.89 | $1,584.89 | $4,570.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $3,630.78 Typical High $11,748.98 | Facility | None | $758.58 | $3,630.78 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $3,801.89 Typical High $14,791.08 | Professional | None | $1,584.89 | $3,801.89 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $7,413.10 | Facility | None | $741.31 | $5,128.61 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,137.96 | $4,265.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $3,630.78 | Facility | None | $1,584.89 | $1,995.26 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,819.70 | $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 $1,737.80 Median $3,235.94 Typical High $4,677.35 | Professional | None | $1,737.80 | $3,235.94 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $3,630.78 Typical High $11,748.98 | Facility | None | $758.58 | $3,630.78 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,584.89 Median $3,801.89 Typical High $14,791.08 | Professional | None | $1,584.89 | $3,801.89 | $14,791.08 |
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 $1,737.80 Median $2,511.89 Typical High $7,244.36 | Professional | None | $1,737.80 | $2,511.89 | $7,244.36 |
Well Sense Setting Facility Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,511.89 | Facility | None | $1,230.27 | $1,698.24 | $2,511.89 |
Well Sense Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,202.26 | $1,621.81 |
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 $794.33 Median $794.33 Typical High $2,290.87 | Professional | 52 · Reduced service | $794.33 | $794.33 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $933.25 | Professional | 53 · Discontinued | $316.23 | $316.23 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $3,467.37 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $691.83 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $457.09 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $3,235.94 |
Where Massachusetts sits
The same service costs 19.5 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· 14th of 51
$2,570
AK $6,457TX $331
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.