How much rates vary
Facilitymedian $2,188 · 10th to 90th $776 to $6,918Professionalmedian $1,660 · 10th to 90th $1,023 to $7,413
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 $933.25 Median $933.25 Typical High $2,754.23 | Professional | None | $933.25 | $933.25 | $2,754.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $9,549.93 | Facility | None | $630.96 | $2,818.38 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $2,570.40 Typical High $7,413.10 | Professional | None | $1,122.02 | $2,570.40 | $7,413.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,148.15 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $4,677.35 Typical High $7,079.46 | Facility | None | $446.68 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,412.54 | $1,412.54 | $2,818.38 |
Fallon Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $3,311.31 | Facility | None | $1,047.13 | $1,412.54 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,479.11 | $1,698.24 |
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 $1,202.26 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,202.26 | $2,187.76 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $9,549.93 | Facility | None | $630.96 | $2,818.38 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,122.02 Median $2,570.40 Typical High $7,413.10 | Professional | None | $1,122.02 | $2,570.40 | $7,413.10 |
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 $1,122.02 Median $1,584.89 Typical High $4,677.35 | Professional | None | $1,122.02 | $1,584.89 | $4,677.35 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,398.83 | Facility | None | $776.25 | $1,202.26 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
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 $457.09 Median $457.09 Typical High $1,380.38 | Professional | 52 · Reduced service | $457.09 | $457.09 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $549.54 | Professional | 53 · Discontinued | $186.21 | $186.21 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $2,089.30 | Professional | 54 · Surgery only | $691.83 | $691.83 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $416.87 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $275.42 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $1,949.84 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $263.03 Typical High $416.87 | Professional | AS · PA/NP assist | $177.83 | $263.03 | $416.87 |
Where Massachusetts sits
The same service costs 3.9 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $12,209DE $3,093
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.