How much rates vary
Facilitymedian $1,995 · 10th to 90th $794 to $5,888Professionalmedian $1,585 · 10th to 90th $933 to $7,244
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 $870.96 Median $870.96 Typical High $2,884.03 | Professional | None | $870.96 | $870.96 | $2,884.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $2,344.23 Typical High $6,309.57 | Facility | None | $691.83 | $2,344.23 | $6,309.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $7,244.36 | Professional | None | $1,071.52 | $2,290.87 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,187.76 Typical High $3,162.28 | Facility | None | $831.76 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,258.93 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $3,311.31 | Facility | None | $954.99 | $1,258.93 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,258.93 | $1,479.11 |
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 $1,071.52 Median $1,949.84 Typical High $2,951.21 | Professional | None | $1,071.52 | $1,949.84 | $2,951.21 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $2,344.23 Typical High $6,309.57 | Facility | None | $691.83 | $2,344.23 | $6,309.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $7,244.36 | Professional | None | $1,071.52 | $2,290.87 | $7,244.36 |
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 $1,148.15 Median $1,548.82 Typical High $4,365.16 | Professional | None | $1,148.15 | $1,548.82 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,479.11 | Facility | None | $794.33 | $1,096.48 | $1,479.11 |
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 $436.52 Median $436.52 Typical High $1,445.44 | Professional | 52 · Reduced service | $436.52 | $436.52 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $575.44 | Professional | 53 · Discontinued | $173.78 | $173.78 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $2,187.76 | Professional | 54 · Surgery only | $660.69 | $660.69 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $436.52 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $288.40 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $2,041.74 |
Where Massachusetts sits
The same service costs 16.2 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
$1,585
AK $3,890TX $240
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.