How much rates vary
Facilitymedian $1,000 · 10th to 90th $447 to $3,631Professionalmedian $813 · 10th to 90th $490 to $3,548
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 $1,288.25 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $1,288.25 | Professional | None | $446.68 | $446.68 | $1,288.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $371.54 Median $1,230.27 Typical High $3,311.31 | Facility | None | $371.54 | $1,230.27 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $512.86 Median $1,230.27 Typical High $3,548.13 | Professional | None | $512.86 | $1,230.27 | $3,548.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,202.26 | Professional | None | $549.54 | $549.54 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,148.15 Typical High $1,659.59 | Facility | None | $446.68 | $1,148.15 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,348.96 | Professional | None | $676.08 | $676.08 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $537.03 Median $691.83 Typical High $3,311.31 | Facility | None | $537.03 | $691.83 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $831.76 | Professional | None | $616.60 | $707.95 | $831.76 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,621.81 | Professional | None | $588.84 | $1,071.52 | $1,621.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $371.54 Median $1,230.27 Typical High $3,311.31 | Facility | None | $371.54 | $1,230.27 | $3,311.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $512.86 Median $1,230.27 Typical High $3,548.13 | Professional | None | $512.86 | $1,230.27 | $3,548.13 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,309.57 | Facility | None | $575.44 | $1,380.38 | $6,309.57 |
United Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $2,238.72 | Professional | None | $537.03 | $758.58 | $2,238.72 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $776.25 | Facility | None | $398.11 | $562.34 | $776.25 |
Well Sense Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
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 $223.87 Median $223.87 Typical High $645.65 | Professional | 52 · Reduced service | $223.87 | $223.87 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $257.04 | Professional | 53 · Discontinued | $89.13 | $89.13 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $954.99 | Professional | 54 · Surgery only | $338.84 | $338.84 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $194.98 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $128.82 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $316.23 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $316.23 | $316.23 | $891.25 |
Where Massachusetts sits
The same service costs 7.6 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
$813
AK $2,042TX $269
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.