How much rates vary
Facilitymedian $1,862 · 10th to 90th $692 to $5,623Professionalmedian $1,905 · 10th to 90th $1,072 to $8,318
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,148.15 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $2,187.76 Typical High $5,754.40 | Facility | None | $524.81 | $2,187.76 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $954.99 Median $3,019.95 Typical High $8,317.64 | Professional | None | $954.99 | $3,019.95 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $3,162.28 | Facility | None | $588.84 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,311.31 | Professional | None | $1,659.59 | $1,659.59 | $3,311.31 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $3,311.31 | Facility | None | $1,148.15 | $1,584.89 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,659.59 | $1,905.46 |
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 $1,174.90 Median $2,570.40 Typical High $3,801.89 | Professional | None | $1,174.90 | $2,570.40 | $3,801.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $2,187.76 Typical High $5,754.40 | Facility | None | $524.81 | $2,187.76 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $954.99 Median $3,019.95 Typical High $8,317.64 | Professional | None | $954.99 | $3,019.95 | $8,317.64 |
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 $776.25 Median $1,778.28 Typical High $5,495.41 | Professional | None | $776.25 | $1,778.28 | $5,495.41 |
Well Sense Setting Facility Modifier None Typical Low $741.31 Median $1,096.48 Typical High $1,862.09 | Facility | None | $741.31 | $1,096.48 | $1,862.09 |
Well Sense Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | None | $426.58 | $426.58 | $575.44 |
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 $575.44 Median $575.44 Typical High $851.14 | Professional | 52 · Reduced service | $575.44 | $575.44 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | 53 · Discontinued | $229.09 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $1,258.93 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $257.04 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $1,174.90 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $9,494KY $2,537
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.