How much rates vary
Facilitymedian $2,399 · 10th to 90th $617 to $8,710Professionalmedian $933 · 10th to 90th $562 to $4,074
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 $1,778.28 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,778.28 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,513.56 | Professional | None | $524.81 | $524.81 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $616.60 Median $3,548.13 Typical High $10,232.93 | Facility | None | $616.60 | $3,548.13 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $602.56 Median $1,412.54 Typical High $4,073.80 | Professional | None | $602.56 | $1,412.54 | $4,073.80 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,348.96 | Professional | None | $630.96 | $630.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,888.44 Typical High $8,912.51 | Facility | None | $676.08 | $5,888.44 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,548.82 | Professional | None | $776.25 | $776.25 | $1,548.82 |
Fallon Health Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $3,311.31 | Facility | None | $602.56 | $794.33 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $933.25 | Professional | None | $691.83 | $794.33 | $933.25 |
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 $660.69 Median $1,230.27 Typical High $1,819.70 | Professional | None | $660.69 | $1,230.27 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $616.60 Median $3,548.13 Typical High $10,232.93 | Facility | None | $616.60 | $3,548.13 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $602.56 Median $1,412.54 Typical High $4,073.80 | Professional | None | $602.56 | $1,412.54 | $4,073.80 |
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 $645.65 Median $891.25 Typical High $2,570.40 | Professional | None | $645.65 | $891.25 | $2,570.40 |
Well Sense Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $2,398.83 | Facility | None | $467.74 | $776.25 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
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 $263.03 Median $263.03 Typical High $758.58 | Professional | 52 · Reduced service | $263.03 | $263.03 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $302.00 | Professional | 53 · Discontinued | $104.71 | $104.71 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $1,122.02 | Professional | 54 · Surgery only | $398.11 | $398.11 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $223.87 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $151.36 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $169.82 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $169.82 | $229.09 |
Where Massachusetts sits
The same service costs 7.8 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· 16th of 51
$933
AK $2,399TX $309
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.