How much rates vary
Facilitymedian $891 · 10th to 90th $490 to $3,311Professionalmedian $1,122 · 10th to 90th $617 to $2,692
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,621.81 | Professional | None | $602.56 | $724.44 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $1,258.93 Typical High $3,630.78 | Facility | None | $457.09 | $1,258.93 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,288.25 Typical High $5,370.32 | Professional | None | $616.60 | $1,288.25 | $5,370.32 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $1,513.56 | Facility | None | $660.69 | $812.83 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $1,288.25 | Facility | None | $588.84 | $891.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,862.09 | Professional | None | $812.83 | $977.24 | $1,862.09 |
Fallon Health Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $3,311.31 | Facility | None | $645.65 | $831.76 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,288.25 | Professional | None | $954.99 | $1,096.48 | $1,288.25 |
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 $676.08 Median $1,348.96 Typical High $2,187.76 | Professional | None | $676.08 | $1,348.96 | $2,187.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $1,258.93 Typical High $3,630.78 | Facility | None | $457.09 | $1,258.93 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $616.60 Median $1,288.25 Typical High $5,370.32 | Professional | None | $616.60 | $1,288.25 | $5,370.32 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,165.95 | Facility | None | $575.44 | $1,380.38 | $6,165.95 |
United Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $2,691.53 | Professional | None | $616.60 | $977.24 | $2,691.53 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $1,071.52 | Facility | None | $457.09 | $645.65 | $1,071.52 |
Well Sense Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $588.84 | Professional | None | $416.87 | $489.78 | $588.84 |
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 $302.00 Median $363.08 Typical High $812.83 | Professional | 52 · Reduced service | $302.00 | $363.08 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $323.59 | Professional | 53 · Discontinued | $120.23 | $144.54 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $549.54 Typical High $1,230.27 | Professional | 54 · Surgery only | $446.68 | $549.54 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $109.65 Typical High $245.47 | Professional | 55 · Aftercare only | $89.13 | $109.65 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $72.44 Typical High $162.18 | Professional | 56 · Pre-op care only | $60.26 | $72.44 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $512.86 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $416.87 | $512.86 | $1,148.15 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $316.23 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $269.15 | $316.23 | $426.58 |
Where Massachusetts sits
The same service costs 5.6 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· 10th of 51
$1,122
AK $2,399TX $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.