How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,175 to $7,079Professionalmedian $3,548 · 10th to 90th $2,042 to $25,704
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 $5,623.41 | Facility | None | $2,691.53 | $3,090.30 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $5,623.41 | Professional | None | $1,737.80 | $1,737.80 | $5,623.41 |
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 $2,187.76 Median $5,370.32 Typical High $25,703.96 | Professional | None | $2,187.76 | $5,370.32 | $25,703.96 |
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 $2,951.21 Median $2,951.21 Typical High $5,888.44 | Professional | None | $2,951.21 | $2,951.21 | $5,888.44 |
Fallon Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,630.78 | Facility | None | $2,238.72 | $2,818.38 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,951.21 | $3,388.44 |
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 $2,454.71 Median $4,466.84 Typical High $6,760.83 | Professional | None | $2,454.71 | $4,466.84 | $6,760.83 |
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 $2,187.76 Median $5,370.32 Typical High $25,703.96 | Professional | None | $2,187.76 | $5,370.32 | $25,703.96 |
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 $2,290.87 Median $3,235.94 Typical High $9,772.37 | Professional | None | $2,290.87 | $3,235.94 | $9,772.37 |
Well Sense Setting Facility Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $3,467.37 | Facility | None | $1,698.24 | $2,290.87 | $3,467.37 |
Well Sense Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,412.54 | $1,905.46 |
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 $870.96 Median $870.96 Typical High $2,818.38 | Professional | 52 · Reduced service | $870.96 | $870.96 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $1,122.02 | Professional | 53 · Discontinued | $354.81 | $354.81 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $4,265.80 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $851.14 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $562.34 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $3,981.07 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $3,981.07 |
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· 11th of 51
$3,467
AK $9,120TX $427
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.