How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,096 to $7,586Professionalmedian $2,692 · 10th to 90th $1,660 to $15,488
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 $1,659.59 Median $1,659.59 Typical High $4,786.30 | Professional | None | $1,659.59 | $1,659.59 | $4,786.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $3,715.35 Typical High $11,748.98 | Facility | None | $758.58 | $3,715.35 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $15,488.17 | Professional | None | $1,659.59 | $3,981.07 | $15,488.17 |
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 $2,238.72 Median $2,238.72 Typical High $4,466.84 | Professional | None | $2,238.72 | $2,238.72 | $4,466.84 |
Fallon Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,584.89 | $2,089.30 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,187.76 | $2,511.89 |
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 $1,862.09 Median $3,388.44 Typical High $5,011.87 | Professional | None | $1,862.09 | $3,388.44 | $5,011.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $3,715.35 Typical High $11,748.98 | Facility | None | $758.58 | $3,715.35 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $15,488.17 | Professional | None | $1,659.59 | $3,981.07 | $15,488.17 |
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 $1,778.28 Median $2,570.40 Typical High $7,585.78 | Professional | None | $1,778.28 | $2,570.40 | $7,585.78 |
Well Sense Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,630.27 | Facility | None | $1,288.25 | $1,778.28 | $2,630.27 |
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 $831.76 Median $831.76 Typical High $2,344.23 | Professional | 52 · Reduced service | $831.76 | $831.76 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $954.99 | Professional | 53 · Discontinued | $331.13 | $331.13 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $707.95 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $478.63 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $3,311.31 |
Where Massachusetts sits
The same service costs 18.2 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· 13th of 51
$2,692
AK $6,918TX $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.