How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,072 to $8,318Professionalmedian $2,884 · 10th to 90th $1,585 to $15,136
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 $1,445.44 Median $1,445.44 Typical High $3,981.07 | Professional | None | $1,445.44 | $1,445.44 | $3,981.07 |
AllWays Health Partners Setting Facility Modifier None Typical Low $870.96 Median $4,265.80 Typical High $14,454.40 | Facility | None | $870.96 | $4,265.80 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $4,265.80 Typical High $15,135.61 | Professional | None | $1,737.80 | $4,265.80 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,677.35 Typical High $7,079.46 | Facility | None | $741.31 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,570.88 | Professional | None | $2,290.87 | $2,290.87 | $4,570.88 |
Fallon Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $3,467.37 | Facility | None | $1,949.84 | $2,454.71 | $3,467.37 |
Fallon Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,511.89 | $2,951.21 |
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 $1,949.84 Median $3,890.45 Typical High $5,623.41 | Professional | None | $1,949.84 | $3,890.45 | $5,623.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $870.96 Median $4,265.80 Typical High $14,454.40 | Facility | None | $870.96 | $4,265.80 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,737.80 Median $4,265.80 Typical High $15,135.61 | Professional | None | $1,737.80 | $4,265.80 | $15,135.61 |
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 $1,698.24 Median $2,454.71 Typical High $7,762.47 | Professional | None | $1,698.24 | $2,454.71 | $7,762.47 |
Well Sense Setting Facility Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,318.26 | $1,778.28 | $2,691.53 |
Well Sense Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
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 $724.44 Median $724.44 Typical High $1,995.26 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $794.33 | Professional | 53 · Discontinued | $288.40 | $288.40 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $2,951.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $588.84 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $398.11 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $2,754.23 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $316.23 Median $537.03 Typical High $724.44 | Professional | 82 · Assistant surgeon, no resident | $316.23 | $537.03 | $724.44 |
Where Massachusetts sits
The same service costs 11.2 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· 12th of 51
$2,884
AK $7,244TX $646
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.