How much rates vary
Facilitymedian $1,096 · 10th to 90th $501 to $5,370Professionalmedian $1,047 · 10th to 90th $501 to $2,818
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 $977.24 Median $2,691.53 Typical High $3,715.35 | Facility | None | $977.24 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $977.24 | Professional | None | $331.13 | $575.44 | $977.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $1,819.70 Typical High $6,918.31 | Facility | None | $457.09 | $1,819.70 | $6,918.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $537.03 Median $1,230.27 Typical High $5,754.40 | Professional | None | $537.03 | $1,230.27 | $5,754.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $1,258.93 | Facility | None | $549.54 | $676.08 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,890.45 Typical High $5,754.40 | Facility | None | $588.84 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,862.09 | Professional | None | $630.96 | $1,000.00 | $1,862.09 |
Fallon Health Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $3,311.31 | Facility | None | $524.81 | $691.83 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,202.26 | $1,380.38 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $549.54 Median $1,148.15 Typical High $2,187.76 | Professional | None | $549.54 | $1,148.15 | $2,187.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $1,819.70 Typical High $6,918.31 | Facility | None | $457.09 | $1,819.70 | $6,918.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $537.03 Median $1,230.27 Typical High $5,754.40 | Professional | None | $537.03 | $1,230.27 | $5,754.40 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $10,715.19 | Facility | None | $575.44 | $1,380.38 | $10,715.19 |
United Setting Professional Modifier None Typical Low $426.58 Median $954.99 Typical High $2,238.72 | Professional | None | $426.58 | $954.99 | $2,238.72 |
Well Sense Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $1,905.46 | Facility | None | $436.52 | $724.44 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $524.81 | Professional | None | $245.47 | $331.13 | $524.81 |
7 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 $165.96 Median $288.40 Typical High $489.78 | Professional | 52 · Reduced service | $165.96 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $114.82 Typical High $194.98 | Professional | 53 · Discontinued | $66.07 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $426.58 Typical High $741.31 | Professional | 54 · Surgery only | $251.19 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $87.10 Typical High $147.91 | Professional | 55 · Aftercare only | $50.12 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $57.54 Typical High $97.72 | Professional | 56 · Pre-op care only | $33.11 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $398.11 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $234.42 | $398.11 | $691.83 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $239.88 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $158.49 | $239.88 | $380.19 |
Where Massachusetts sits
The same service costs 5.9 times more in Alaska than in Kentucky. 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· 9th of 51
$1,047
AK $2,138KY $363
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.