How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,023 to $7,586Professionalmedian $2,138 · 10th to 90th $1,288 to $11,482
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 $1,230.27 Median $1,230.27 Typical High $4,073.80 | Professional | None | $1,230.27 | $1,230.27 | $4,073.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $11,748.98 | Facility | None | $758.58 | $3,467.37 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $3,235.94 Typical High $11,481.54 | Professional | None | $1,348.96 | $3,235.94 | $11,481.54 |
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 $1,778.28 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,778.28 | $1,778.28 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,380.38 | $1,737.80 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,778.28 | $2,041.74 |
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 $1,479.11 Median $2,691.53 Typical High $3,981.07 | Professional | None | $1,479.11 | $2,691.53 | $3,981.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $11,748.98 | Facility | None | $758.58 | $3,467.37 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,348.96 Median $3,235.94 Typical High $11,481.54 | Professional | None | $1,348.96 | $3,235.94 | $11,481.54 |
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 $1,513.56 Median $2,089.30 Typical High $6,025.60 | Professional | None | $1,513.56 | $2,089.30 | $6,025.60 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,380.38 | $2,089.30 |
Well Sense Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
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 $616.60 Median $616.60 Typical High $2,041.74 | Professional | 52 · Reduced service | $616.60 | $616.60 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $812.83 | Professional | 53 · Discontinued | $245.47 | $245.47 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $3,090.30 | Professional | 54 · Surgery only | $912.01 | $912.01 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $616.60 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $407.38 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $2,884.03 |
Where Massachusetts sits
The same service costs 18.6 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
$2,188
AK $5,370TX $288
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.