How much rates vary
Facilitymedian $2,399 · 10th to 90th $794 to $8,710Professionalmedian $1,445 · 10th to 90th $871 to $7,762
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 $2,570.40 Median $3,090.30 Typical High $6,309.57 | Facility | None | $2,570.40 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $2,511.89 | Professional | None | $831.76 | $831.76 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $10,232.93 | Facility | None | $724.44 | $3,090.30 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $912.01 Median $2,187.76 Typical High $7,762.47 | Professional | None | $912.01 | $2,187.76 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $6,606.93 Typical High $10,000.00 | Facility | None | $954.99 | $6,606.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,202.26 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $3,311.31 | Facility | None | $912.01 | $1,174.90 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,202.26 | $1,412.54 |
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 $1,023.29 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,862.09 | $2,818.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $10,232.93 | Facility | None | $724.44 | $3,090.30 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $912.01 Median $2,187.76 Typical High $7,762.47 | Professional | None | $912.01 | $2,187.76 | $7,762.47 |
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 $1,023.29 Median $1,380.38 Typical High $4,073.80 | Professional | None | $1,023.29 | $1,380.38 | $4,073.80 |
Well Sense Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $2,398.83 | Facility | None | $741.31 | $1,023.29 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None | $645.65 | $645.65 | $870.96 |
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 $416.87 Median $416.87 Typical High $1,258.93 | Professional | 52 · Reduced service | $416.87 | $416.87 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $501.19 | Professional | 53 · Discontinued | $165.96 | $165.96 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $1,905.46 | Professional | 54 · Surgery only | $616.60 | $616.60 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $380.19 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $251.19 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $1,778.28 |
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· 20th of 51
$1,445
AK $3,715TX $468
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.