How much rates vary
Facilitymedian $1,288 · 10th to 90th $589 to $5,248Professionalmedian $912 · 10th to 90th $550 to $4,266
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,479.11 | Professional | None | $524.81 | $524.81 | $1,479.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $1,584.89 Typical High $5,248.07 | Facility | None | $524.81 | $1,584.89 | $5,248.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,380.38 Typical High $4,265.80 | Professional | None | $588.84 | $1,380.38 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,951.21 Typical High $4,466.84 | Facility | None | $588.84 | $2,951.21 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,513.56 | Professional | None | $758.58 | $758.58 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $3,311.31 | Facility | None | $588.84 | $776.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $912.01 | Professional | None | $676.08 | $794.33 | $912.01 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $660.69 Median $1,202.26 Typical High $1,819.70 | Professional | None | $660.69 | $1,202.26 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $1,584.89 Typical High $5,248.07 | Facility | None | $524.81 | $1,584.89 | $5,248.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $588.84 Median $1,380.38 Typical High $4,265.80 | Professional | None | $588.84 | $1,380.38 | $4,265.80 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $2,511.89 | Professional | None | $630.96 | $891.25 | $2,511.89 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,096.48 | Facility | None | $457.09 | $741.31 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | None | $380.19 | $380.19 | $512.86 |
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 $257.04 Median $257.04 Typical High $741.31 | Professional | 52 · Reduced service | $257.04 | $257.04 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $295.12 | Professional | 53 · Discontinued | $104.71 | $104.71 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $1,122.02 | Professional | 54 · Surgery only | $389.05 | $389.05 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $223.87 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $147.91 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $1,047.13 |
Where Massachusetts sits
The same service costs 7.9 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· 13th of 51
$933
AK $2,344TX $295
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.