How much rates vary
Facilitymedian $2,570 · 10th to 90th $933 to $7,413Professionalmedian $1,950 · 10th to 90th $1,148 to $15,136
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 $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $3,235.94 | Professional | None | $1,122.02 | $1,122.02 | $3,235.94 |
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 $15,135.61 | Professional | None | $1,202.26 | $2,951.21 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,897.79 Typical High $7,413.10 | Facility | None | $741.31 | $4,897.79 | $7,413.10 |
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 $1,584.89 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,584.89 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,621.81 | $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 $15,135.61 | Professional | None | $1,202.26 | $2,951.21 | $15,135.61 |
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 $1,318.26 Median $1,819.70 Typical High $5,370.32 | Professional | None | $1,318.26 | $1,819.70 | $5,370.32 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,905.46 | Facility | None | $933.25 | $1,258.93 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,148.15 | Professional | None | $851.14 | $851.14 | $1,148.15 |
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 $562.34 Median $562.34 Typical High $1,621.81 | Professional | 52 · Reduced service | $562.34 | $562.34 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $660.69 | Professional | 53 · Discontinued | $223.87 | $223.87 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $2,454.71 | Professional | 54 · Surgery only | $851.14 | $851.14 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $489.78 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $323.59 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $2,290.87 |
Where Massachusetts sits
The same service costs 16.2 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· 14th of 51
$1,950
AK $5,012TX $309
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.