How much rates vary
Facilitymedian $2,344 · 10th to 90th $851 to $6,918Professionalmedian $1,622 · 10th to 90th $955 to $11,749
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 $3,090.30 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,818.38 | Professional | None | $954.99 | $954.99 | $2,818.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $9,549.93 | Facility | None | $724.44 | $3,090.30 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $11,748.98 | Professional | None | $1,000.00 | $2,454.71 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,890.45 Typical High $5,754.40 | Facility | None | $954.99 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,691.53 | Professional | None | $1,348.96 | $1,348.96 | $2,691.53 |
Fallon Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $3,311.31 | Facility | None | $1,000.00 | $1,318.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,348.96 | $1,548.82 |
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 $1,122.02 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,122.02 | $2,041.74 | $3,090.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $9,549.93 | Facility | None | $724.44 | $3,090.30 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $11,748.98 | Professional | None | $1,000.00 | $2,454.71 | $11,748.98 |
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 $1,148.15 Median $1,548.82 Typical High $4,570.88 | Professional | None | $1,148.15 | $1,548.82 | $4,570.88 |
Well Sense Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,905.46 | Facility | None | $851.14 | $1,148.15 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
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 $478.63 Median $478.63 Typical High $1,412.54 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $575.44 | Professional | 53 · Discontinued | $190.55 | $190.55 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $2,137.96 | Professional | 54 · Surgery only | $724.44 | $724.44 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $426.58 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $281.84 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,995.26 |
Where Massachusetts sits
The same service costs 21.4 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· 15th of 51
$1,660
AK $4,074TX $191
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.