How much rates vary
Facilitymedian $2,399 · 10th to 90th $794 to $8,710Professionalmedian $2,042 · 10th to 90th $1,230 to $8,913
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 $2,041.74 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,041.74 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,230.27 | $2,041.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $10,232.93 | Facility | None | $588.84 | $3,388.44 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $3,235.94 Typical High $8,912.51 | Professional | None | $1,122.02 | $3,235.94 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $6,309.57 Typical High $9,549.93 | Facility | None | $676.08 | $6,309.57 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,778.28 | $1,778.28 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,698.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,737.80 | $2,041.74 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,412.54 | $2,691.53 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $10,232.93 | Facility | None | $588.84 | $3,388.44 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,122.02 Median $3,235.94 Typical High $8,912.51 | Professional | None | $1,122.02 | $3,235.94 | $8,912.51 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $14,125.38 | Facility | None | $1,071.52 | $3,467.37 | $14,125.38 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,905.46 Typical High $5,754.40 | Professional | None | $933.25 | $1,905.46 | $5,754.40 |
Well Sense Setting Facility Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $2,398.83 | Facility | None | $1,000.00 | $1,659.59 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
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 $616.60 Median $616.60 Typical High $1,023.29 | Professional | 52 · Reduced service | $616.60 | $616.60 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $407.38 | Professional | 53 · Discontinued | $245.47 | $245.47 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $309.03 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $204.17 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,445.44 |
Where Massachusetts sits
The same service costs 8.9 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· 15th of 51
$2,089
AK $5,495TX $617
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.