How much rates vary
Facilitymedian $1,259 · 10th to 90th $447 to $4,898Professionalmedian $676 · 10th to 90th $407 to $3,162
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 $1,122.02 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,122.02 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,122.02 | Professional | None | $389.05 | $389.05 | $1,122.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $416.87 Median $1,698.24 Typical High $5,623.41 | Facility | None | $416.87 | $1,698.24 | $5,623.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $457.09 Median $1,047.13 Typical High $3,162.28 | Professional | None | $457.09 | $1,047.13 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,089.30 Typical High $3,162.28 | Facility | None | $446.68 | $2,089.30 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,148.15 | Professional | None | $575.44 | $575.44 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $3,311.31 | Facility | None | $457.09 | $588.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $691.83 | Professional | None | $524.81 | $602.56 | $691.83 |
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 $501.19 Median $912.01 Typical High $1,380.38 | Professional | None | $501.19 | $912.01 | $1,380.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $416.87 Median $1,698.24 Typical High $5,623.41 | Facility | None | $416.87 | $1,698.24 | $5,623.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $457.09 Median $1,047.13 Typical High $3,162.28 | Professional | None | $457.09 | $1,047.13 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,905.46 | Professional | None | $457.09 | $645.65 | $1,905.46 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,096.48 | Facility | None | $346.74 | $537.03 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | None | $288.40 | $288.40 | $389.05 |
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 $194.98 Median $194.98 Typical High $562.34 | Professional | 52 · Reduced service | $194.98 | $194.98 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $223.87 | Professional | 53 · Discontinued | $77.62 | $77.62 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $851.14 | Professional | 54 · Surgery only | $288.40 | $288.40 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $169.82 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $112.20 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $794.33 |
BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $97.72 Typical High $147.91 | Professional | AS · PA/NP assist | $72.44 | $97.72 | $147.91 |
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· 16th of 51
$692
AK $1,738TX $209
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.