How much rates vary
Facilitymedian $2,570 · 10th to 90th $741 to $14,454Professionalmedian $1,148 · 10th to 90th $692 to $5,623
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 $1,995.26 Median $2,818.38 Typical High $5,128.61 | Facility | None | $1,995.26 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,995.26 | Professional | None | $676.08 | $676.08 | $1,995.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $812.83 Median $4,677.35 Typical High $19,498.45 | Facility | None | $812.83 | $4,677.35 | $19,498.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,548.82 Typical High $5,623.41 | Professional | None | $741.31 | $1,548.82 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $9,120.11 Typical High $13,182.57 | Facility | None | $741.31 | $9,120.11 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,949.84 | Professional | None | $977.24 | $977.24 | $1,949.84 |
Fallon Health Setting Facility Modifier None Typical Low $758.58 Median $977.24 Typical High $3,311.31 | Facility | None | $758.58 | $977.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,148.15 | Professional | None | $851.14 | $1,000.00 | $1,148.15 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $831.76 Median $1,513.56 Typical High $2,187.76 | Professional | None | $831.76 | $1,513.56 | $2,187.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $812.83 Median $4,677.35 Typical High $19,498.45 | Facility | None | $812.83 | $4,677.35 | $19,498.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $741.31 Median $1,548.82 Typical High $5,623.41 | Professional | None | $741.31 | $1,548.82 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $19,054.61 | Facility | None | $1,071.52 | $3,890.45 | $19,054.61 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $3,235.94 | Professional | None | $794.33 | $1,148.15 | $3,235.94 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,148.15 | Facility | None | $549.54 | $776.25 | $1,148.15 |
Well Sense Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
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 $338.84 Median $338.84 Typical High $1,000.00 | Professional | 52 · Reduced service | $338.84 | $338.84 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $398.11 | Professional | 53 · Discontinued | $134.90 | $134.90 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $1,479.11 | Professional | 54 · Surgery only | $501.19 | $501.19 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $302.00 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $199.53 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $1,380.38 |
Where Massachusetts sits
The same service costs 8.3 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· 16th of 51
$1,175
AK $3,020TX $363
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.