How much rates vary
Facilitymedian $2,570 · 10th to 90th $871 to $12,589Professionalmedian $1,698 · 10th to 90th $1,023 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 $2,691.53 Median $3,090.30 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $3,019.95 | Professional | None | $977.24 | $977.24 | $3,019.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,630.78 Typical High $14,125.38 | Facility | None | $724.44 | $3,630.78 | $14,125.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $7,762.47 | Professional | None | $1,047.13 | $2,570.40 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $12,302.69 Typical High $18,620.87 | Facility | None | $954.99 | $12,302.69 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,412.54 | $1,412.54 | $2,818.38 |
Fallon Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,047.13 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,412.54 | $1,621.81 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $870.96 Median $3,467.37 Typical High $10,232.93 | Facility | None | $870.96 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,174.90 | $2,187.76 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,630.78 Typical High $14,125.38 | Facility | None | $724.44 | $3,630.78 | $14,125.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $7,762.47 | Professional | None | $1,047.13 | $2,570.40 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $17,782.79 | Facility | None | $1,071.52 | $3,467.37 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $4,786.30 | Professional | None | $1,202.26 | $1,621.81 | $4,786.30 |
Well Sense Setting Facility Modifier None Typical Low $870.96 Median $1,288.25 Typical High $4,897.79 | Facility | None | $870.96 | $1,288.25 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
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 $489.78 Median $489.78 Typical High $1,479.11 | Professional | 52 · Reduced service | $489.78 | $489.78 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $602.56 | Professional | 53 · Discontinued | $194.98 | $194.98 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $2,238.72 | Professional | 54 · Surgery only | $724.44 | $724.44 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $302.00 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $2,089.30 |
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· 15th of 51
$1,738
AK $4,365TX $550
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.