How much rates vary
Facilitymedian $2,570 · 10th to 90th $933 to $7,079Professionalmedian $1,995 · 10th to 90th $1,175 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 $2,691.53 Median $3,388.44 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,388.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $3,467.37 | Professional | None | $1,096.48 | $1,096.48 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $9,549.93 | Facility | None | $758.58 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $15,488.17 | Professional | None | $1,202.26 | $2,951.21 | $15,488.17 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,258.93 | $2,137.96 | $3,715.35 |
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 $1,621.81 Median $1,621.81 Typical High $3,235.94 | Professional | None | $1,621.81 | $1,621.81 | $3,235.94 |
Fallon Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,548.82 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,584.89 | $1,862.09 |
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 $1,348.96 Median $2,454.71 Typical High $3,715.35 | Professional | None | $1,348.96 | $2,454.71 | $3,715.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $9,549.93 | Facility | None | $758.58 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $15,488.17 | Professional | None | $1,202.26 | $2,951.21 | $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 $1,380.38 Median $1,949.84 Typical High $5,495.41 | Professional | None | $1,380.38 | $1,949.84 | $5,495.41 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,905.46 | Facility | None | $933.25 | $1,288.25 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,202.26 | Professional | None | $891.25 | $891.25 | $1,202.26 |
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 $549.54 Median $549.54 Typical High $1,737.80 | Professional | 52 · Reduced service | $549.54 | $549.54 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $691.83 | Professional | 53 · Discontinued | $218.78 | $218.78 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $2,630.27 | Professional | 54 · Surgery only | $812.83 | $812.83 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $524.81 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $346.74 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $2,454.71 |
Where Massachusetts sits
The same service costs 14.5 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· 16th of 51
$1,995
AK $4,898TX $339
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.