How much rates vary
Facilitymedian $1,905 · 10th to 90th $708 to $5,888Professionalmedian $1,349 · 10th to 90th $759 to $6,457
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 $2,089.30 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $2,344.23 | Professional | None | $707.95 | $707.95 | $2,344.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $6,309.57 | Facility | None | $588.84 | $2,137.96 | $6,309.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $870.96 Median $1,862.09 Typical High $6,456.54 | Professional | None | $870.96 | $1,862.09 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,187.76 Typical High $3,162.28 | Facility | None | $676.08 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,023.29 | $2,041.74 |
Fallon Health Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $3,311.31 | Facility | None | $776.25 | $1,023.29 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,202.26 | Professional | None | $891.25 | $1,047.13 | $1,202.26 |
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 $870.96 Median $1,621.81 Typical High $2,398.83 | Professional | None | $870.96 | $1,621.81 | $2,398.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $6,309.57 | Facility | None | $588.84 | $2,137.96 | $6,309.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $870.96 Median $1,862.09 Typical High $6,456.54 | Professional | None | $870.96 | $1,862.09 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,715.19 | Facility | None | $1,071.52 | $3,467.37 | $10,715.19 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $3,467.37 | Professional | None | $954.99 | $1,258.93 | $3,467.37 |
Well Sense Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,318.26 | Facility | None | $630.96 | $1,023.29 | $1,318.26 |
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 |
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 $354.81 Median $354.81 Typical High $1,174.90 | Professional | 52 · Reduced service | $354.81 | $354.81 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $467.74 | Professional | 53 · Discontinued | $141.25 | $141.25 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $524.81 | $524.81 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $354.81 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $234.42 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $1,659.59 |
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· 13th of 51
$1,349
AK $3,162TX $380
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.