How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,047 to $5,754Professionalmedian $2,512 · 10th to 90th $1,514 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 $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 $1,445.44 Median $1,445.44 Typical High $4,466.84 | Professional | None | $1,445.44 | $1,445.44 | $4,466.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $741.31 Median $2,344.23 Typical High $5,754.40 | Facility | None | $741.31 | $2,344.23 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,659.59 Median $3,801.89 Typical High $11,481.54 | Professional | None | $1,659.59 | $3,801.89 | $11,481.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $3,467.37 | Professional | None | $1,584.89 | $1,584.89 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $9,120.11 Typical High $13,182.57 | Facility | None | $741.31 | $9,120.11 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,168.69 | Professional | None | $2,089.30 | $2,089.30 | $4,168.69 |
Fallon Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,584.89 | $1,995.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,778.28 | $2,041.74 | $2,398.83 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,737.80 Median $3,162.28 Typical High $4,570.88 | Professional | None | $1,737.80 | $3,162.28 | $4,570.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $741.31 Median $2,344.23 Typical High $5,754.40 | Facility | None | $741.31 | $2,344.23 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,659.59 Median $3,801.89 Typical High $11,481.54 | Professional | None | $1,659.59 | $3,801.89 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $17,782.79 | Facility | None | $1,047.13 | $2,344.23 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $7,079.46 | Professional | None | $1,737.80 | $2,454.71 | $7,079.46 |
Well Sense Setting Facility Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,454.71 | Facility | None | $1,174.90 | $1,621.81 | $2,454.71 |
Well Sense Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,148.15 | $1,548.82 |
9 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 $724.44 Median $724.44 Typical High $2,238.72 | Professional | 52 · Reduced service | $724.44 | $724.44 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $891.25 | Professional | 53 · Discontinued | $295.12 | $295.12 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $676.08 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $3,162.28 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $2,187.76 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,288.25 | $2,187.76 | $2,951.21 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $436.52 Typical High $588.84 | Professional | 82 · Assistant surgeon, no resident | $257.04 | $436.52 | $588.84 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $346.74 Typical High $645.65 | Professional | AS · PA/NP assist | $245.47 | $346.74 | $645.65 |
Where Massachusetts sits
The same service costs 6.3 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 $16,928TX $2,675
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.