How much rates vary
Facilitymedian $2,692 · 10th to 90th $891 to $8,913Professionalmedian $1,622 · 10th to 90th $1,000 to $11,482
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 $1,949.84 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $3,019.95 | Professional | None | $912.01 | $912.01 | $3,019.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $3,981.07 Typical High $14,454.40 | Facility | None | $831.76 | $3,981.07 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $11,481.54 | Professional | None | $1,047.13 | $2,398.83 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,888.44 Typical High $8,912.51 | Facility | None | $741.31 | $5,888.44 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,288.25 | $2,570.40 |
Fallon Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,096.48 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,380.38 | $1,621.81 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $3,090.30 | Professional | None | $1,202.26 | $2,187.76 | $3,090.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $3,981.07 Typical High $14,454.40 | Facility | None | $831.76 | $3,981.07 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $11,481.54 | Professional | None | $1,047.13 | $2,398.83 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,595.87 | Facility | None | $1,071.52 | $3,890.45 | $16,595.87 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $4,365.16 | Professional | None | $1,148.15 | $1,548.82 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,548.82 | Facility | None | $741.31 | $1,023.29 | $1,548.82 |
Well Sense Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
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 $457.09 Median $457.09 Typical High $1,513.56 | Professional | 52 · Reduced service | $457.09 | $457.09 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $602.56 | Professional | 53 · Discontinued | $181.97 | $181.97 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $2,290.87 | Professional | 54 · Surgery only | $691.83 | $691.83 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $457.09 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $302.00 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $2,137.96 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 62 · Two surgeons | $1,230.27 | $1,230.27 | $1,230.27 |
Where Massachusetts sits
The same service costs 14.8 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· 17th of 51
$1,660
AK $4,169TX $282
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.