How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,047 to $5,754Professionalmedian $1,905 · 10th to 90th $1,202 to $5,754
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 $2,089.30 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,174.90 | $1,548.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $2,511.89 Typical High $5,495.41 | Facility | None | $1,174.90 | $2,511.89 | $5,495.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $8,511.38 | Professional | None | $1,230.27 | $2,570.40 | $8,511.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,288.25 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $7,585.78 Typical High $9,772.37 | Facility | None | $676.08 | $7,585.78 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,311.31 | Professional | None | $1,659.59 | $1,659.59 | $3,311.31 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,621.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,659.59 | $1,905.46 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,380.38 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,380.38 | $2,570.40 | $3,715.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,174.90 Median $2,511.89 Typical High $5,495.41 | Facility | None | $1,174.90 | $2,511.89 | $5,495.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $8,511.38 | Professional | None | $1,230.27 | $2,570.40 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $11,481.54 | Facility | None | $1,047.13 | $2,344.23 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $5,623.41 | Professional | None | $1,445.44 | $1,995.26 | $5,623.41 |
Well Sense Setting Facility Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,862.09 | Facility | None | $954.99 | $1,174.90 | $1,862.09 |
Well Sense Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
7 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 $588.84 Median $588.84 Typical High $724.44 | Professional | 52 · Reduced service | $588.84 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | 53 · Discontinued | $234.42 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $1,000.00 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,737.80 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,737.80 | $2,344.23 |
Where Massachusetts sits
The same service costs 6.1 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.
Physician feeFacility fee
AK $14,041TX $2,290
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.