How much rates vary
Facilitymedian $2,239 · 10th to 90th $724 to $6,918Professionalmedian $2,239 · 10th to 90th $1,349 to $9,550
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 $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,890.45 | Professional | None | $1,258.93 | $1,258.93 | $3,890.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $3,090.30 Typical High $9,549.93 | Facility | None | $549.54 | $3,090.30 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $3,388.44 Typical High $9,549.93 | Professional | None | $1,513.56 | $3,388.44 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,677.35 Typical High $7,079.46 | Facility | None | $676.08 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,862.09 | $1,862.09 | $3,630.78 |
Fallon Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,819.70 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,659.59 | $1,905.46 | $2,238.72 |
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 $1,584.89 Median $2,884.03 Typical High $4,365.16 | Professional | None | $1,584.89 | $2,884.03 | $4,365.16 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $3,090.30 Typical High $9,549.93 | Facility | None | $549.54 | $3,090.30 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,513.56 Median $3,388.44 Typical High $9,549.93 | Professional | None | $1,513.56 | $3,388.44 | $9,549.93 |
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 $1,584.89 Median $2,187.76 Typical High $6,165.95 | Professional | None | $1,584.89 | $2,187.76 | $6,165.95 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,454.71 | Facility | None | $891.25 | $1,584.89 | $2,454.71 |
Well Sense Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
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 $630.96 Median $630.96 Typical High $1,949.84 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $776.25 | Professional | 53 · Discontinued | $251.19 | $251.19 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $2,884.03 | Professional | 54 · Surgery only | $954.99 | $954.99 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $575.44 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $389.05 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $2,691.53 |
Where Massachusetts sits
The same service costs 17.0 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· 12th of 51
$2,239
AK $5,623TX $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.