How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,259 to $18,197Professionalmedian $3,090 · 10th to 90th $1,862 to $14,125
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 $1,778.28 Median $1,778.28 Typical High $5,128.61 | Professional | None | $1,778.28 | $1,778.28 | $5,128.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $6,309.57 Typical High $25,118.86 | Facility | None | $954.99 | $6,309.57 | $25,118.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $4,786.30 Typical High $14,125.38 | Professional | None | $2,089.30 | $4,786.30 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,589.25 Typical High $18,197.01 | Facility | None | $741.31 | $12,589.25 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $5,128.61 | Professional | None | $2,570.40 | $2,570.40 | $5,128.61 |
Fallon Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,630.78 | Facility | None | $2,137.96 | $2,630.27 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $3,162.28 | Professional | None | $2,398.83 | $2,754.23 | $3,162.28 |
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 $2,344.23 Median $4,265.80 Typical High $6,456.54 | Professional | None | $2,344.23 | $4,265.80 | $6,456.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $6,309.57 Typical High $25,118.86 | Facility | None | $954.99 | $6,309.57 | $25,118.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,089.30 Median $4,786.30 Typical High $14,125.38 | Professional | None | $2,089.30 | $4,786.30 | $14,125.38 |
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 $2,041.74 Median $2,884.03 Typical High $8,709.64 | Professional | None | $2,041.74 | $2,884.03 | $8,709.64 |
Well Sense Setting Facility Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $3,019.95 | Facility | None | $1,445.44 | $1,995.26 | $3,019.95 |
Well Sense Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,348.96 | $1,819.70 |
6 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 $891.25 Median $891.25 Typical High $2,570.40 | Professional | 52 · Reduced service | $891.25 | $891.25 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $1,023.29 | Professional | 53 · Discontinued | $354.81 | $354.81 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $3,801.89 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $758.58 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $512.86 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $3,548.13 |
Where Massachusetts sits
The same service costs 16.2 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· 16th of 51
$3,162
AK $8,128TX $501
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.