How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,072 to $7,586Professionalmedian $3,548 · 10th to 90th $2,138 to $22,387
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 $2,089.30 Median $3,235.94 Typical High $5,248.07 | Facility | None | $2,089.30 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,309.57 | Professional | None | $2,089.30 | $2,089.30 | $6,309.57 |
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 $2,137.96 Median $5,248.07 Typical High $22,387.21 | Professional | None | $2,137.96 | $5,248.07 | $22,387.21 |
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 $3,019.95 Median $3,019.95 Typical High $5,888.44 | Professional | None | $3,019.95 | $3,019.95 | $5,888.44 |
Fallon Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,238.72 | $2,754.23 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,454.71 | $2,884.03 | $3,311.31 |
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 $2,398.83 Median $4,466.84 Typical High $6,606.93 | Professional | None | $2,398.83 | $4,466.84 | $6,606.93 |
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 $2,137.96 Median $5,248.07 Typical High $22,387.21 | Professional | None | $2,137.96 | $5,248.07 | $22,387.21 |
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 $2,630.27 Median $3,548.13 Typical High $10,232.93 | Professional | None | $2,630.27 | $3,548.13 | $10,232.93 |
Well Sense Setting Facility Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $3,548.13 | Facility | None | $1,698.24 | $2,344.23 | $3,548.13 |
Well Sense Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,659.59 | $1,659.59 | $2,238.72 |
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 $1,047.13 Median $1,047.13 Typical High $3,162.28 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $1,288.25 | Professional | 53 · Discontinued | $416.87 | $416.87 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $4,786.30 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $630.96 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $4,466.84 |
Where Massachusetts sits
The same service costs 21.9 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· 12th of 51
$3,548
AK $9,333TX $427
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.