How much rates vary
Facilitymedian $2,399 · 10th to 90th $891 to $8,511Professionalmedian $1,514 · 10th to 90th $912 to $7,079
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 $3,090.30 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $2,691.53 | Professional | None | $870.96 | $870.96 | $2,691.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,890.45 Typical High $12,022.64 | Facility | None | $724.44 | $3,890.45 | $12,022.64 |
AllWays Health Partners Setting Professional Modifier None Typical Low $933.25 Median $2,290.87 Typical High $7,079.46 | Professional | None | $933.25 | $2,290.87 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $5,888.44 Typical High $8,912.51 | Facility | None | $954.99 | $5,888.44 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,258.93 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $933.25 Median $1,230.27 Typical High $3,311.31 | Facility | None | $933.25 | $1,230.27 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,071.52 | $1,258.93 | $1,445.44 |
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 $1,047.13 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,949.84 | $2,884.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,890.45 Typical High $12,022.64 | Facility | None | $724.44 | $3,890.45 | $12,022.64 |
Mass General Brigham Setting Professional Modifier None Typical Low $933.25 Median $2,290.87 Typical High $7,079.46 | Professional | None | $933.25 | $2,290.87 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,595.87 | Facility | None | $1,071.52 | $3,890.45 | $16,595.87 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $4,265.80 | Professional | None | $1,071.52 | $1,479.11 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $2,398.83 | Facility | None | $776.25 | $1,412.54 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Professional | None | $676.08 | $676.08 | $912.01 |
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 $436.52 Median $436.52 Typical High $1,348.96 | Professional | 52 · Reduced service | $436.52 | $436.52 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $537.03 | Professional | 53 · Discontinued | $173.78 | $173.78 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $1,995.26 | Professional | 54 · Surgery only | $645.65 | $645.65 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $398.11 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $269.15 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $1,862.09 |
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· 14th of 51
$1,549
AK $3,890TX $490
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.