How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,259 to $17,783Professionalmedian $3,311 · 10th to 90th $2,042 to $32,359
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 $1,995.26 Median $1,995.26 Typical High $6,165.95 | Professional | None | $1,995.26 | $1,995.26 | $6,165.95 |
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 $2,041.74 Median $5,011.87 Typical High $32,359.37 | Professional | None | $2,041.74 | $5,011.87 | $32,359.37 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,302.69 Typical High $17,782.79 | Facility | None | $741.31 | $12,302.69 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,495.41 | Professional | None | $2,818.38 | $2,818.38 | $5,495.41 |
Fallon Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,630.78 | Facility | None | $2,089.30 | $2,570.40 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $3,162.28 | Professional | None | $2,344.23 | $2,691.53 | $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 $2,290.87 Median $4,265.80 Typical High $6,165.95 | Professional | None | $2,290.87 | $4,265.80 | $6,165.95 |
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 $2,041.74 Median $5,011.87 Typical High $32,359.37 | Professional | None | $2,041.74 | $5,011.87 | $32,359.37 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $4,073.80 Typical High $33,884.42 | Facility | None | $1,258.93 | $4,073.80 | $33,884.42 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $9,549.93 | Professional | None | $2,454.71 | $3,311.31 | $9,549.93 |
Well Sense Setting Facility Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $3,235.94 | Facility | None | $1,584.89 | $2,187.76 | $3,235.94 |
Well Sense Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,548.82 | $2,089.30 |
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 $1,000.00 Median $1,000.00 Typical High $3,090.30 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $1,230.27 | Professional | 53 · Discontinued | $398.11 | $398.11 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $4,677.35 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $933.25 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $616.60 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $4,365.16 |
Where Massachusetts sits
The same service costs 6.5 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
$3,311
AK $8,710TX $1,349
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.