How much rates vary
Facilitymedian $1,820 · 10th to 90th $692 to $5,623Professionalmedian $1,380 · 10th to 90th $851 to $6,026
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 $724.44 Median $724.44 Typical High $2,238.72 | Professional | None | $724.44 | $724.44 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $2,137.96 Typical High $5,754.40 | Facility | None | $549.54 | $2,137.96 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $912.01 Median $2,089.30 Typical High $6,025.60 | Professional | None | $912.01 | $2,089.30 | $6,025.60 |
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 $1,148.15 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,148.15 | $2,238.72 |
Fallon Health Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $3,311.31 | Facility | None | $851.14 | $1,174.90 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,230.27 | $1,412.54 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,000.00 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,819.70 | $2,754.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $2,137.96 Typical High $5,754.40 | Facility | None | $549.54 | $2,137.96 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $912.01 Median $2,089.30 Typical High $6,025.60 | Professional | None | $912.01 | $2,089.30 | $6,025.60 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $3,715.35 | Professional | None | $933.25 | $1,318.26 | $3,715.35 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $977.24 Typical High $1,380.38 | Facility | None | $676.08 | $977.24 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
7 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 $363.08 Median $363.08 Typical High $1,122.02 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | 53 · Discontinued | $144.54 | $144.54 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $1,698.24 | Professional | 54 · Surgery only | $537.03 | $537.03 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $338.84 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $223.87 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $199.53 Typical High $295.12 | Professional | AS · PA/NP assist | $147.91 | $199.53 | $295.12 |
Where Massachusetts sits
The same service costs 7.4 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
$1,380
AK $3,467TX $468
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.