How much rates vary
Facilitymedian $1,698 · 10th to 90th $646 to $6,918Professionalmedian $1,023 · 10th to 90th $617 to $4,571
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 $1,737.80 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,737.80 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,737.80 | Professional | None | $575.44 | $575.44 | $1,737.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $9,120.11 | Facility | None | $630.96 | $2,398.83 | $9,120.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,548.82 Typical High $4,570.88 | Professional | None | $660.69 | $1,548.82 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,677.35 Typical High $7,079.46 | Facility | None | $831.76 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,698.24 | Professional | None | $851.14 | $851.14 | $1,698.24 |
Fallon Health Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $3,311.31 | Facility | None | $660.69 | $851.14 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,000.00 | Professional | None | $758.58 | $870.96 | $1,000.00 |
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 $724.44 Median $1,318.26 Typical High $1,995.26 | Professional | None | $724.44 | $1,318.26 | $1,995.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $9,120.11 | Facility | None | $630.96 | $2,398.83 | $9,120.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $660.69 Median $1,548.82 Typical High $4,570.88 | Professional | None | $660.69 | $1,548.82 | $4,570.88 |
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 $724.44 Median $977.24 Typical High $2,818.38 | Professional | None | $724.44 | $977.24 | $2,818.38 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $2,398.83 | Facility | None | $524.81 | $741.31 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $588.84 | Professional | None | $436.52 | $436.52 | $588.84 |
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 $288.40 Median $288.40 Typical High $870.96 | Professional | 52 · Reduced service | $288.40 | $288.40 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $346.74 | Professional | 53 · Discontinued | $114.82 | $114.82 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $1,318.26 | Professional | 54 · Surgery only | $436.52 | $436.52 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $263.03 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $173.78 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $1,230.27 |
Where Massachusetts sits
The same service costs 8.3 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· 17th of 51
$1,023
AK $2,570TX $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.