How much rates vary
Facilitymedian $3,890 · 10th to 90th $794 to $16,218Professionalmedian $1,820 · 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 $1,949.84 Median $3,235.94 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | None | $954.99 | $954.99 | $1,202.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $4,677.35 Typical High $19,498.45 | Facility | None | $831.76 | $4,677.35 | $19,498.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $7,762.47 | Professional | None | $1,202.26 | $2,511.89 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,022.64 Typical High $18,197.01 | Facility | None | $741.31 | $12,022.64 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,445.44 | $1,445.44 | $2,884.03 |
Fallon Health Setting Facility Modifier None Typical Low $794.33 Median $1,698.24 Typical High $5,888.44 | Facility | None | $794.33 | $1,698.24 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
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 $1,288.25 Median $2,344.23 Typical High $3,311.31 | Professional | None | $1,288.25 | $2,344.23 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $4,677.35 Typical High $19,498.45 | Facility | None | $831.76 | $4,677.35 | $19,498.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $7,762.47 | Professional | None | $1,202.26 | $2,511.89 | $7,762.47 |
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 $1,230.27 Median $1,737.80 Typical High $4,897.79 | Professional | None | $1,230.27 | $1,737.80 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $512.86 Median $2,951.21 Typical High $4,897.79 | Facility | None | $512.86 | $2,951.21 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None | $660.69 | $660.69 | $891.25 |
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 $478.63 Median $478.63 Typical High $602.56 | Professional | 52 · Reduced service | $478.63 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | 53 · Discontinued | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $912.01 | Professional | 54 · Surgery only | $724.44 | $724.44 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $851.14 |
Where Massachusetts sits
The same service costs 46.8 times more in Alaska than in Hawaii. 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· 9th of 51
$2,042
AK $4,467HI $95.50
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.