How much rates vary
Facilitymedian $1,660 · 10th to 90th $617 to $5,623Professionalmedian $1,000 · 10th to 90th $603 to $4,677
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 $575.44 Median $575.44 Typical High $1,698.24 | Professional | None | $575.44 | $575.44 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $2,041.74 Typical High $5,754.40 | Facility | None | $549.54 | $2,041.74 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $645.65 Median $1,513.56 Typical High $4,677.35 | Professional | None | $645.65 | $1,513.56 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,187.76 Typical High $3,162.28 | Facility | None | $676.08 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,659.59 | Professional | None | $851.14 | $851.14 | $1,659.59 |
Fallon Health Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $3,311.31 | Facility | None | $645.65 | $851.14 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,000.00 | Professional | None | $741.31 | $870.96 | $1,000.00 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
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 $549.54 Median $2,041.74 Typical High $5,754.40 | Facility | None | $549.54 | $2,041.74 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $645.65 Median $1,513.56 Typical High $4,677.35 | Professional | None | $645.65 | $1,513.56 | $4,677.35 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $2,818.38 | Professional | None | $676.08 | $933.25 | $2,818.38 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,096.48 | Facility | None | $524.81 | $758.58 | $1,096.48 |
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 $831.76 | Professional | 52 · Reduced service | $288.40 | $288.40 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $338.84 | Professional | 53 · Discontinued | $114.82 | $114.82 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $1,258.93 | Professional | 54 · Surgery only | $426.58 | $426.58 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $251.19 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $169.82 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $1,174.90 |
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
$1,000
AK $2,570TX $331
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.