How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,000 to $8,318Professionalmedian $3,802 · 10th to 90th $2,344 to $19,498
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 $2,691.53 Median $3,388.44 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,388.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $6,606.93 | Professional | None | $2,187.76 | $2,187.76 | $6,606.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $14,454.40 | Facility | None | $831.76 | $4,265.80 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $5,754.40 Typical High $19,498.45 | Professional | None | $2,398.83 | $5,754.40 | $19,498.45 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $5,495.41 | Professional | None | $2,511.89 | $2,511.89 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,623.41 Typical High $7,079.46 | Facility | None | $676.08 | $5,623.41 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $6,309.57 | Professional | None | $3,162.28 | $3,162.28 | $6,309.57 |
Fallon Health Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,801.89 | Facility | None | $2,511.89 | $3,090.30 | $3,801.89 |
Fallon Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,715.35 | Professional | None | $2,754.23 | $3,235.94 | $3,715.35 |
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 $2,754.23 Median $5,011.87 Typical High $7,244.36 | Professional | None | $2,754.23 | $5,011.87 | $7,244.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $14,454.40 | Facility | None | $831.76 | $4,265.80 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,398.83 Median $5,754.40 Typical High $19,498.45 | Professional | None | $2,398.83 | $5,754.40 | $19,498.45 |
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 $2,570.40 Median $3,630.78 Typical High $10,715.19 | Professional | None | $2,570.40 | $3,630.78 | $10,715.19 |
Well Sense Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $3,715.35 | Facility | None | $1,819.70 | $2,454.71 | $3,715.35 |
Well Sense Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,659.59 | $1,659.59 | $2,238.72 |
8 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 $1,096.48 Median $1,096.48 Typical High $3,311.31 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $1,318.26 | Professional | 53 · Discontinued | $436.52 | $436.52 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $5,011.87 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $5,011.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $1,000.00 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $1,000.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $660.69 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $4,677.35 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,691.53 Typical High $3,548.13 | Professional | 62 · Two surgeons | $1,584.89 | $2,691.53 | $3,548.13 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $691.83 Typical High $912.01 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $691.83 | $912.01 |
Where Massachusetts sits
The same service costs 4.0 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.