How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,072 to $7,079Professionalmedian $2,188 · 10th to 90th $1,259 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 $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $3,715.35 | Professional | None | $1,071.52 | $1,071.52 | $3,715.35 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,288.25 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $3,311.31 Typical High $15,488.17 | Professional | None | $1,380.38 | $3,311.31 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $3,890.45 Typical High $5,754.40 | Facility | None | $446.68 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,630.78 | Professional | None | $1,819.70 | $1,819.70 | $3,630.78 |
Fallon Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,412.54 | $1,778.28 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,819.70 | $2,089.30 |
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 $1,513.56 Median $2,754.23 Typical High $4,168.69 | Professional | None | $1,513.56 | $2,754.23 | $4,168.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,288.25 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,380.38 Median $3,311.31 Typical High $15,488.17 | Professional | None | $1,380.38 | $3,311.31 | $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 $1,412.54 Median $2,089.30 Typical High $6,165.95 | Professional | None | $1,412.54 | $2,089.30 | $6,165.95 |
Well Sense Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,096.48 | $1,548.82 | $2,344.23 |
Well Sense Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
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 $537.03 Median $537.03 Typical High $1,862.09 | Professional | 52 · Reduced service | $537.03 | $537.03 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $741.31 | Professional | 53 · Discontinued | $213.80 | $213.80 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $2,818.38 | Professional | 54 · Surgery only | $812.83 | $812.83 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $562.34 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $371.54 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $2,630.27 |
Where Massachusetts sits
The same service costs 17.0 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
$2,188
AK $5,495TX $324
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.