How much rates vary
Facilitymedian $2,570 · 10th to 90th $741 to $13,183Professionalmedian $1,148 · 10th to 90th $692 to $5,495
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 $2,818.38 Typical High $5,128.61 | Facility | None | $2,089.30 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $2,089.30 | Professional | None | $645.65 | $645.65 | $2,089.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $812.83 Median $3,890.45 Typical High $19,498.45 | Facility | None | $812.83 | $3,890.45 | $19,498.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $794.33 Median $1,698.24 Typical High $5,495.41 | Professional | None | $794.33 | $1,698.24 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,897.79 Typical High $7,079.46 | Facility | None | $741.31 | $4,897.79 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,862.09 | Professional | None | $933.25 | $933.25 | $1,862.09 |
Fallon Health Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $3,311.31 | Facility | None | $741.31 | $933.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,096.48 | Professional | None | $831.76 | $954.99 | $1,096.48 |
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 $794.33 Median $1,479.11 Typical High $2,089.30 | Professional | None | $794.33 | $1,479.11 | $2,089.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $812.83 Median $3,890.45 Typical High $19,498.45 | Facility | None | $812.83 | $3,890.45 | $19,498.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $794.33 Median $1,698.24 Typical High $5,495.41 | Professional | None | $794.33 | $1,698.24 | $5,495.41 |
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 $851.14 Median $1,148.15 Typical High $3,090.30 | Professional | None | $851.14 | $1,148.15 | $3,090.30 |
Well Sense Setting Facility Modifier None Typical Low $537.03 Median $724.44 Typical High $1,096.48 | Facility | None | $537.03 | $724.44 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
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 $323.59 Median $323.59 Typical High $1,047.13 | Professional | 52 · Reduced service | $323.59 | $323.59 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $416.87 | Professional | 53 · Discontinued | $128.82 | $128.82 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $1,548.82 | Professional | 54 · Surgery only | $489.78 | $489.78 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $316.23 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $208.93 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $1,445.44 |
Where Massachusetts sits
The same service costs 8.7 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· 15th of 51
$1,202
AK $2,884TX $331
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.