How much rates vary
Facilitymedian $2,399 · 10th to 90th $759 to $7,943Professionalmedian $1,380 · 10th to 90th $832 to $6,026
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 $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $2,344.23 | Professional | None | $794.33 | $794.33 | $2,344.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $707.95 Median $3,548.13 Typical High $10,232.93 | Facility | None | $707.95 | $3,548.13 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $870.96 Median $2,089.30 Typical High $6,025.60 | Professional | None | $870.96 | $2,089.30 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,677.35 Typical High $7,079.46 | Facility | None | $676.08 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,148.15 | $2,290.87 |
Fallon Health Setting Facility Modifier None Typical Low $831.76 Median $1,122.02 Typical High $3,311.31 | Facility | None | $831.76 | $1,122.02 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,148.15 | $1,348.96 |
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 $977.24 Median $1,778.28 Typical High $2,691.53 | Professional | None | $977.24 | $1,778.28 | $2,691.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $707.95 Median $3,548.13 Typical High $10,232.93 | Facility | None | $707.95 | $3,548.13 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $870.96 Median $2,089.30 Typical High $6,025.60 | Professional | None | $870.96 | $2,089.30 | $6,025.60 |
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 $977.24 Median $1,348.96 Typical High $3,801.89 | Professional | None | $977.24 | $1,348.96 | $3,801.89 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $2,398.83 | Facility | None | $707.95 | $1,047.13 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $812.83 | Professional | None | $602.56 | $602.56 | $812.83 |
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 $398.11 Median $398.11 Typical High $1,174.90 | Professional | 52 · Reduced service | $398.11 | $398.11 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $467.74 | Professional | 53 · Discontinued | $158.49 | $158.49 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $1,778.28 | Professional | 54 · Surgery only | $588.84 | $588.84 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $354.81 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $234.42 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $1,659.59 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $245.47 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $245.47 | $331.13 |
Where Massachusetts sits
The same service costs 8.1 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.
Massachusetts· 14th of 51
$1,413
AK $3,548TX $437
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.