How much rates vary
Facilitymedian $1,698 · 10th to 90th $550 to $5,754Professionalmedian $832 · 10th to 90th $525 to $6,166
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 $2,570.40 Median $3,090.30 Typical High $6,309.57 | Facility | None | $2,570.40 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,548.82 | Professional | None | $537.03 | $537.03 | $1,548.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $2,344.23 Typical High $6,918.31 | Facility | None | $691.83 | $2,344.23 | $6,918.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $489.78 Median $1,174.90 Typical High $6,165.95 | Professional | None | $489.78 | $1,174.90 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,890.45 Typical High $5,754.40 | Facility | None | $954.99 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,318.26 | Professional | None | $660.69 | $660.69 | $1,318.26 |
Fallon Health Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $3,311.31 | Facility | None | $501.19 | $660.69 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $758.58 | Professional | None | $562.34 | $660.69 | $758.58 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,513.56 | Professional | None | $549.54 | $1,000.00 | $1,513.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $2,344.23 Typical High $6,918.31 | Facility | None | $691.83 | $2,344.23 | $6,918.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $489.78 Median $1,174.90 Typical High $6,165.95 | Professional | None | $489.78 | $1,174.90 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $11,481.54 | Facility | None | $1,047.13 | $2,344.23 | $11,481.54 |
United Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $2,238.72 | Professional | None | $588.84 | $776.25 | $2,238.72 |
Well Sense Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,905.46 | Facility | None | $407.38 | $645.65 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | None | $398.11 | $398.11 | $537.03 |
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 $269.15 Median $269.15 Typical High $776.25 | Professional | 52 · Reduced service | $269.15 | $269.15 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $309.03 | Professional | 53 · Discontinued | $107.15 | $107.15 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $1,174.90 | Professional | 54 · Surgery only | $407.38 | $407.38 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $234.42 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $154.88 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $1,096.48 |
Where Massachusetts sits
The same service costs 18.2 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· 16th of 51
$851
AK $1,995TX $110
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.