How much rates vary
Facilitymedian $1,622 · 10th to 90th $603 to $4,266Professionalmedian $2,291 · 10th to 90th $1,349 to $9,772
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 $2,691.53 Median $3,388.44 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,388.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $3,467.37 | Professional | None | $1,288.25 | $1,288.25 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $3,801.89 | Facility | None | $602.56 | $1,258.93 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $3,467.37 Typical High $9,772.37 | Professional | None | $1,479.11 | $3,467.37 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $1,698.24 | Facility | None | $954.99 | $1,318.26 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,905.46 | $1,905.46 | $3,801.89 |
Fallon Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,311.31 | Facility | None | $1,348.96 | $1,862.09 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,949.84 | $2,238.72 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,621.81 Median $2,951.21 Typical High $4,265.80 | Professional | None | $1,621.81 | $2,951.21 | $4,265.80 |
Health New England Setting Professional Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None | $12,022.64 | $12,022.64 | $12,022.64 |
Mass General Brigham Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $3,801.89 | Facility | None | $602.56 | $1,258.93 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,479.11 Median $3,467.37 Typical High $9,772.37 | Professional | None | $1,479.11 | $3,467.37 | $9,772.37 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,309.57 | Facility | None | $575.44 | $1,380.38 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $6,309.57 | Professional | None | $1,548.82 | $2,137.96 | $6,309.57 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $1,202.26 Typical High $2,137.96 | Facility | None | $602.56 | $1,202.26 | $2,137.96 |
Well Sense Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
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 $645.65 Median $645.65 Typical High $1,737.80 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $707.95 | Professional | 53 · Discontinued | $257.04 | $257.04 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $2,630.27 | Professional | 54 · Surgery only | $977.24 | $977.24 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $524.81 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $346.74 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $2,454.71 |
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· 14th of 51
$2,188
AK $5,888TX $347
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.