How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,096 to $14,125Professionalmedian $2,818 · 10th to 90th $1,738 to $17,783
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 $3,630.78 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,630.78 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $4,786.30 | Professional | None | $1,621.81 | $1,621.81 | $4,786.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $5,754.40 Typical High $25,118.86 | Facility | None | $954.99 | $5,754.40 | $25,118.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $4,265.80 Typical High $17,782.79 | Professional | None | $1,862.09 | $4,265.80 | $17,782.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $4,168.69 | Professional | None | $1,905.46 | $1,905.46 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $10,232.93 Typical High $13,182.57 | Facility | None | $676.08 | $10,232.93 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,677.35 | Professional | None | $2,344.23 | $2,344.23 | $4,677.35 |
Fallon Health Setting Facility Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $3,311.31 | Facility | None | $1,905.46 | $2,344.23 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $2,818.38 | Professional | None | $2,137.96 | $2,454.71 | $2,818.38 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $14,125.38 | Facility | None | $1,096.48 | $4,073.80 | $14,125.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,089.30 Median $3,801.89 Typical High $5,754.40 | Professional | None | $2,089.30 | $3,801.89 | $5,754.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $5,754.40 Typical High $25,118.86 | Facility | None | $954.99 | $5,754.40 | $25,118.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,862.09 Median $4,265.80 Typical High $17,782.79 | Professional | None | $1,862.09 | $4,265.80 | $17,782.79 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $4,073.80 Typical High $29,512.09 | Facility | None | $1,258.93 | $4,073.80 | $29,512.09 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $7,943.28 | Professional | None | $1,905.46 | $2,691.53 | $7,943.28 |
Well Sense Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,318.26 | $1,862.09 | $2,754.23 |
Well Sense Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,258.93 | $1,698.24 |
10 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 $794.33 Median $794.33 Typical High $2,398.83 | Professional | 52 · Reduced service | $794.33 | $794.33 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $954.99 | Professional | 53 · Discontinued | $323.59 | $323.59 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $3,630.78 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $724.44 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $478.63 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $3,388.44 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $2,041.74 Typical High $2,754.23 | Professional | 62 · Two surgeons | $1,202.26 | $2,041.74 | $2,754.23 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $2,630.27 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,548.82 | $2,630.27 | $3,467.37 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $309.03 Median $524.81 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $309.03 | $524.81 | $707.95 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $416.87 Typical High $724.44 | Professional | AS · PA/NP assist | $295.12 | $416.87 | $724.44 |
Where Massachusetts sits
The same service costs 5.9 times more in Alaska than in Kentucky. 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 $21,868KY $3,733
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.