How much rates vary
Facilitymedian $2,399 · 10th to 90th $813 to $7,943Professionalmedian $1,514 · 10th to 90th $891 to $7,413
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 $1,778.28 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,778.28 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $2,691.53 | Professional | None | $831.76 | $831.76 | $2,691.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $707.95 Median $3,548.13 Typical High $10,232.93 | Facility | None | $707.95 | $3,548.13 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $2,238.72 Typical High $7,413.10 | Professional | None | $1,023.29 | $2,238.72 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,677.35 Typical High $7,079.46 | Facility | None | $676.08 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,230.27 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $3,311.31 | Facility | None | $870.96 | $1,202.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,230.27 | $1,412.54 |
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 $1,023.29 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,905.46 | $2,818.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $707.95 Median $3,548.13 Typical High $10,232.93 | Facility | None | $707.95 | $3,548.13 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,023.29 Median $2,238.72 Typical High $7,413.10 | Professional | None | $1,023.29 | $2,238.72 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,595.87 | Facility | None | $1,071.52 | $3,890.45 | $16,595.87 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $3,981.07 | Professional | None | $1,122.02 | $1,479.11 | $3,981.07 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $2,398.83 | Facility | None | $758.58 | $1,202.26 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Professional | None | $676.08 | $676.08 | $912.01 |
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 $1,348.96 | Professional | 52 · Reduced service | $416.87 | $416.87 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $537.03 | Professional | 53 · Discontinued | $165.96 | $165.96 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $2,041.74 | Professional | 54 · Surgery only | $630.96 | $630.96 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $407.38 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $269.15 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $1,905.46 |
Where Massachusetts sits
The same service costs 14.5 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· 13th of 51
$1,585
AK $3,715TX $257
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.