How much rates vary
Facilitymedian $2,042 · 10th to 90th $692 to $6,310Professionalmedian $1,445 · 10th to 90th $871 to $6,310
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 $758.58 Median $758.58 Typical High $2,344.23 | Professional | None | $758.58 | $758.58 | $2,344.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $2,398.83 Typical High $5,754.40 | Facility | None | $549.54 | $2,398.83 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $954.99 Median $2,187.76 Typical High $6,309.57 | Professional | None | $954.99 | $2,187.76 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,888.44 Typical High $8,912.51 | Facility | None | $676.08 | $5,888.44 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,174.90 | $2,344.23 |
Fallon Health Setting Facility Modifier None Typical Low $891.25 Median $1,230.27 Typical High $3,311.31 | Facility | None | $891.25 | $1,230.27 | $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 $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 $1,023.29 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,023.29 | $1,905.46 | $2,884.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $2,398.83 Typical High $5,754.40 | Facility | None | $549.54 | $2,398.83 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $954.99 Median $2,187.76 Typical High $6,309.57 | Professional | None | $954.99 | $2,187.76 | $6,309.57 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $12,302.69 | Facility | None | $851.14 | $2,818.38 | $12,302.69 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $3,890.45 | Professional | None | $977.24 | $1,380.38 | $3,890.45 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $2,398.83 | Facility | None | $707.95 | $1,023.29 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $794.33 | Professional | None | $588.84 | $588.84 | $794.33 |
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 $380.19 Median $380.19 Typical High $1,174.90 | Professional | 52 · Reduced service | $380.19 | $380.19 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $467.74 | Professional | 53 · Discontinued | $151.36 | $151.36 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $1,778.28 | Professional | 54 · Surgery only | $575.44 | $575.44 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $354.81 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $234.42 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $1,659.59 |
Where Massachusetts sits
The same service costs 8.1 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
$1,445
AK $3,631TX $447
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.