How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,072 to $8,913Professionalmedian $2,291 · 10th to 90th $1,380 to $13,490
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 $1,348.96 Median $1,348.96 Typical High $4,168.69 | Professional | None | $1,348.96 | $1,348.96 | $4,168.69 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $3,981.07 Typical High $14,454.40 | Facility | None | $831.76 | $3,981.07 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $3,467.37 Typical High $13,489.63 | Professional | None | $1,548.82 | $3,467.37 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,165.95 Typical High $9,120.11 | Facility | None | $741.31 | $6,165.95 | $9,120.11 |
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 $1,479.11 Median $1,862.09 Typical High $3,311.31 | Facility | None | $1,479.11 | $1,862.09 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,187.76 | Professional | None | $1,621.81 | $1,905.46 | $2,187.76 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,951.21 | $4,265.80 |
Health New England Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $3,981.07 Typical High $14,454.40 | Facility | None | $831.76 | $3,981.07 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,548.82 Median $3,467.37 Typical High $13,489.63 | Professional | None | $1,548.82 | $3,467.37 | $13,489.63 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,595.87 | Facility | None | $1,071.52 | $3,890.45 | $16,595.87 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $6,606.93 | Professional | None | $1,621.81 | $2,290.87 | $6,606.93 |
Well Sense Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,479.11 | $2,238.72 |
Well Sense Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
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 $676.08 Median $676.08 Typical High $2,089.30 | Professional | 52 · Reduced service | $676.08 | $676.08 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $831.76 | Professional | 53 · Discontinued | $269.15 | $269.15 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $616.60 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $416.87 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $2,884.03 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $234.42 Median $407.38 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $234.42 | $407.38 | $537.03 |
Where Massachusetts sits
The same service costs 8.7 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· 15th of 51
$2,344
AK $5,888TX $676
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.