How much rates vary
Facilitymedian $1,738 · 10th to 90th $603 to $4,677Professionalmedian $2,138 · 10th to 90th $1,202 to $11,482
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 $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,202.26 | $2,754.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $5,011.87 | Facility | None | $501.19 | $1,778.28 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $3,388.44 Typical High $11,481.54 | Professional | None | $1,096.48 | $3,388.44 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,659.59 Typical High $2,398.83 | Facility | None | $676.08 | $1,659.59 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,715.35 | Professional | None | $1,862.09 | $1,862.09 | $3,715.35 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,778.28 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,137.96 | Professional | None | $1,584.89 | $1,862.09 | $2,137.96 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $5,128.61 | Facility | None | $549.54 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $4,265.80 | Professional | None | $1,513.56 | $2,884.03 | $4,265.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $5,011.87 | Facility | None | $501.19 | $1,778.28 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,096.48 Median $3,388.44 Typical High $11,481.54 | Professional | None | $1,096.48 | $3,388.44 | $11,481.54 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $8,709.64 | Facility | None | $575.44 | $1,380.38 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $6,025.60 | Professional | None | $1,148.15 | $1,949.84 | $6,025.60 |
Well Sense Setting Facility Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,949.84 | Facility | None | $831.76 | $1,096.48 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,202.26 | Professional | None | $891.25 | $891.25 | $1,202.26 |
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 $602.56 Median $602.56 Typical High $1,380.38 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $549.54 | Professional | 53 · Discontinued | $239.88 | $239.88 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $2,089.30 | Professional | 54 · Surgery only | $912.01 | $912.01 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $416.87 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $275.42 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,949.84 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $302.00 Typical High $446.68 | Professional | AS · PA/NP assist | $223.87 | $302.00 | $446.68 |
Where Massachusetts sits
The same service costs 3.7 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 $8,917DE $2,410
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.