How much rates vary
Facilitymedian $2,455 · 10th to 90th $741 to $7,586Professionalmedian $1,148 · 10th to 90th $676 to $6,918
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 $1,862.09 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,862.09 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,862.09 | Professional | None | $602.56 | $602.56 | $1,862.09 |
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 $741.31 Median $1,737.80 Typical High $6,918.31 | Professional | None | $741.31 | $1,737.80 | $6,918.31 |
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 $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
Fallon Health Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $3,311.31 | Facility | None | $758.58 | $954.99 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,148.15 | Professional | None | $851.14 | $977.24 | $1,148.15 |
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 $812.83 Median $1,479.11 Typical High $2,137.96 | Professional | None | $812.83 | $1,479.11 | $2,137.96 |
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 $741.31 Median $1,737.80 Typical High $6,918.31 | Professional | None | $741.31 | $1,737.80 | $6,918.31 |
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 $794.33 Median $1,071.52 Typical High $3,235.94 | Professional | None | $794.33 | $1,071.52 | $3,235.94 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,122.02 | Facility | None | $549.54 | $758.58 | $1,122.02 |
Well Sense Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
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 $302.00 Median $302.00 Typical High $933.25 | Professional | 52 · Reduced service | $302.00 | $302.00 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $380.19 | Professional | 53 · Discontinued | $120.23 | $120.23 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $1,412.54 | Professional | 54 · Surgery only | $446.68 | $446.68 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $281.84 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $186.21 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $1,318.26 |
Where Massachusetts sits
The same service costs 19.1 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
$1,175
AK $2,884TX $151
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.