How much rates vary
Facilitymedian $2,512 · 10th to 90th $776 to $8,318Professionalmedian $1,622 · 10th to 90th $1,000 to $7,586
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 $2,818.38 | Professional | None | $933.25 | $933.25 | $2,818.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $10,471.29 | Facility | None | $588.84 | $3,467.37 | $10,471.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $2,454.71 Typical High $7,585.78 | Professional | None | $1,071.52 | $2,454.71 | $7,585.78 |
BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,290.87 | Professional | None | $1,071.52 | $1,071.52 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,677.35 Typical High $7,079.46 | Facility | None | $741.31 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,691.53 | Professional | None | $1,348.96 | $1,348.96 | $2,691.53 |
Fallon Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $3,311.31 | Facility | None | $1,000.00 | $1,318.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,348.96 | $1,584.89 |
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 $1,148.15 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,148.15 | $2,089.30 | $3,162.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $10,471.29 | Facility | None | $588.84 | $3,467.37 | $10,471.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,071.52 Median $2,454.71 Typical High $7,585.78 | Professional | None | $1,071.52 | $2,454.71 | $7,585.78 |
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 $1,122.02 Median $1,584.89 Typical High $4,570.88 | Professional | None | $1,122.02 | $1,584.89 | $4,570.88 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,584.89 | Facility | None | $758.58 | $1,023.29 | $1,584.89 |
Well Sense Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | None | $707.95 | $707.95 | $977.24 |
8 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 $467.74 Median $467.74 Typical High $1,412.54 | Professional | 52 · Reduced service | $467.74 | $467.74 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $562.34 | Professional | 53 · Discontinued | $186.21 | $186.21 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $2,137.96 | Professional | 54 · Surgery only | $691.83 | $691.83 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $426.58 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $281.84 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $1,995.26 |
BCBS Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $912.01 Typical High $1,202.26 | Professional | 52 · Reduced service | $537.03 | $912.01 | $1,202.26 |
BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $275.42 Typical High $389.05 | Professional | AS · PA/NP assist | $169.82 | $275.42 | $389.05 |
Where Massachusetts sits
The same service costs 5.2 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.
Physician feeFacility fee
AK $12,112TX $2,335
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.