How much rates vary
Facilitymedian $2,399 · 10th to 90th $776 to $7,244Professionalmedian $1,318 · 10th to 90th $794 to $6,026
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 $1,949.84 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $2,238.72 | Professional | None | $758.58 | $758.58 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $3,090.30 Typical High $12,022.64 | Facility | None | $691.83 | $3,090.30 | $12,022.64 |
AllWays Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,778.28 Typical High $6,025.60 | Professional | None | $851.14 | $1,778.28 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,677.35 Typical High $7,079.46 | Facility | None | $831.76 | $4,677.35 | $7,079.46 |
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 $851.14 Median $1,096.48 Typical High $3,311.31 | Facility | None | $851.14 | $1,096.48 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,318.26 | Professional | None | $977.24 | $1,122.02 | $1,318.26 |
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 $933.25 Median $1,737.80 Typical High $2,630.27 | Professional | None | $933.25 | $1,737.80 | $2,630.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $3,090.30 Typical High $12,022.64 | Facility | None | $691.83 | $3,090.30 | $12,022.64 |
Mass General Brigham Setting Professional Modifier None Typical Low $851.14 Median $1,778.28 Typical High $6,025.60 | Professional | None | $851.14 | $1,778.28 | $6,025.60 |
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 $1,288.25 Typical High $3,801.89 | Professional | None | $933.25 | $1,288.25 | $3,801.89 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $2,398.83 | Facility | None | $691.83 | $1,096.48 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Professional | None | $575.44 | $575.44 | $776.25 |
7 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 $380.19 Median $380.19 Typical High $1,096.48 | Professional | 52 · Reduced service | $380.19 | $380.19 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $446.68 | Professional | 53 · Discontinued | $151.36 | $151.36 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $1,659.59 | Professional | 54 · Surgery only | $575.44 | $575.44 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $331.13 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $223.87 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $1,548.82 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $181.97 Typical High $275.42 | Professional | AS · PA/NP assist | $134.90 | $181.97 | $275.42 |
Where Massachusetts sits
The same service costs 7.6 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· 14th of 51
$1,349
AK $3,388TX $447
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.