How much rates vary
Facilitymedian $1,820 · 10th to 90th $708 to $5,623Professionalmedian $1,349 · 10th to 90th $813 to $5,754
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 $2,089.30 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $2,398.83 | Professional | None | $776.25 | $776.25 | $2,398.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,089.30 Typical High $5,754.40 | Facility | None | $575.44 | $2,089.30 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $851.14 Median $2,041.74 Typical High $5,754.40 | Professional | None | $851.14 | $2,041.74 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,691.53 Typical High $3,981.07 | Facility | None | $676.08 | $2,691.53 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,238.72 | Professional | None | $1,122.02 | $1,122.02 | $2,238.72 |
Fallon Health Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $3,311.31 | Facility | None | $812.83 | $1,122.02 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,318.26 | Professional | None | $977.24 | $1,148.15 | $1,318.26 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $758.58 Median $2,818.38 Typical High $7,762.47 | Facility | None | $758.58 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $954.99 Median $1,737.80 Typical High $2,630.27 | Professional | None | $954.99 | $1,737.80 | $2,630.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,089.30 Typical High $5,754.40 | Facility | None | $575.44 | $2,089.30 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $851.14 Median $2,041.74 Typical High $5,754.40 | Professional | None | $851.14 | $2,041.74 | $5,754.40 |
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 $954.99 Median $1,288.25 Typical High $3,715.35 | Professional | None | $954.99 | $1,288.25 | $3,715.35 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,380.38 | Facility | None | $707.95 | $1,047.13 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $812.83 | Professional | None | $602.56 | $602.56 | $812.83 |
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 $389.05 Median $389.05 Typical High $1,174.90 | Professional | 52 · Reduced service | $389.05 | $389.05 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $478.63 | Professional | 53 · Discontinued | $154.88 | $154.88 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $1,778.28 | Professional | 54 · Surgery only | $588.84 | $588.84 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $354.81 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $239.88 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $1,659.59 |
Where Massachusetts sits
The same service costs 7.9 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· 18th of 51
$1,380
AK $3,467TX $437
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.