How much rates vary
Facilitymedian $3,981 · 10th to 90th $759 to $9,333Professionalmedian $6,026 · 10th to 90th $3,548 to $28,184
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 $2,511.89 Median $3,235.94 Typical High $5,248.07 | Facility | None | $2,511.89 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $10,232.93 | Professional | None | $2,951.21 | $2,951.21 | $10,232.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $501.19 Median $3,981.07 Typical High $10,715.19 | Facility | None | $501.19 | $3,981.07 | $10,715.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3,981.07 Median $8,912.51 Typical High $28,183.83 | Professional | None | $3,981.07 | $8,912.51 | $28,183.83 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $5,888.44 Typical High $8,912.51 | Facility | None | $588.84 | $5,888.44 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $9,772.37 | Professional | None | $5,011.87 | $5,011.87 | $9,772.37 |
Fallon Health Setting Facility Modifier None Typical Low $1,905.46 Median $4,466.84 Typical High $5,623.41 | Facility | None | $1,905.46 | $4,466.84 | $5,623.41 |
Fallon Health Setting Professional Modifier None Typical Low $4,265.80 Median $4,897.79 Typical High $5,623.41 | Professional | None | $4,265.80 | $4,897.79 | $5,623.41 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4,168.69 Median $7,585.78 Typical High $10,964.78 | Professional | None | $4,168.69 | $7,585.78 | $10,964.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $501.19 Median $3,981.07 Typical High $10,715.19 | Facility | None | $501.19 | $3,981.07 | $10,715.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $3,981.07 Median $8,912.51 Typical High $28,183.83 | Professional | None | $3,981.07 | $8,912.51 | $28,183.83 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $14,125.38 | Facility | None | $1,071.52 | $3,467.37 | $14,125.38 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $16,218.10 | Professional | None | $4,073.80 | $5,754.40 | $16,218.10 |
Well Sense Setting Facility Modifier None Typical Low $2,818.38 Median $3,890.45 Typical High $5,888.44 | Facility | None | $2,818.38 | $3,890.45 | $5,888.44 |
Well Sense Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,235.94 | Professional | None | $2,398.83 | $2,398.83 | $3,235.94 |
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 $1,479.11 Median $1,479.11 Typical High $5,128.61 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $2,041.74 | Professional | 53 · Discontinued | $588.84 | $588.84 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,187.76 Typical High $7,585.78 | Professional | 54 · Surgery only | $2,187.76 | $2,187.76 | $7,585.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $1,513.56 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $1,513.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,041.74 Typical High $7,079.46 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,041.74 | $7,079.46 |
Where Massachusetts sits
The same service costs 20.4 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
$5,623
AK $15,488TX $759
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.