How much rates vary
Facilitymedian $1,318 · 10th to 90th $724 to $6,918Professionalmedian $1,288 · 10th to 90th $724 to $13,804
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $2,398.83 | Professional | None | $724.44 | $724.44 | $2,398.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $562.34 Median $2,041.74 Typical High $7,244.36 | Facility | None | $562.34 | $2,041.74 | $7,244.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,778.28 Typical High $13,803.84 | Professional | None | $724.44 | $1,778.28 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $1,380.38 | Facility | None | $676.08 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,023.29 | $2,041.74 |
Fallon Health Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $3,311.31 | Facility | None | $758.58 | $933.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,122.02 | Professional | None | $831.76 | $954.99 | $1,122.02 |
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 $831.76 Median $1,548.82 Typical High $2,290.87 | Professional | None | $831.76 | $1,548.82 | $2,290.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $562.34 Median $2,041.74 Typical High $7,244.36 | Facility | None | $562.34 | $2,041.74 | $7,244.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $724.44 Median $1,778.28 Typical High $13,803.84 | Professional | None | $724.44 | $1,778.28 | $13,803.84 |
United Setting Facility Modifier None Typical Low $912.01 Median $3,890.45 Typical High $11,220.18 | Facility | None | $912.01 | $3,890.45 | $11,220.18 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $3,467.37 | Professional | None | $912.01 | $1,230.27 | $3,467.37 |
Well Sense Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $1,202.26 | Facility | None | $588.84 | $812.83 | $1,202.26 |
Well Sense Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
5 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 $363.08 Median $363.08 Typical High $1,202.26 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $478.63 | Professional | 53 · Discontinued | $144.54 | $144.54 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $1,778.28 | Professional | 54 · Surgery only | $549.54 | $549.54 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $354.81 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $239.88 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $239.88 |
Where Massachusetts sits
The same service costs 4.6 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 $9,843KY $2,122
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.