How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,072 to $8,913Professionalmedian $2,692 · 10th to 90th $1,660 to $16,982
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 $1,548.82 Median $1,548.82 Typical High $4,786.30 | Professional | None | $1,548.82 | $1,548.82 | $4,786.30 |
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 $1,819.70 Median $3,981.07 Typical High $16,982.44 | Professional | None | $1,819.70 | $3,981.07 | $16,982.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,715.35 | Professional | None | $1,698.24 | $1,698.24 | $3,715.35 |
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 $2,238.72 Median $2,238.72 Typical High $4,466.84 | Professional | None | $2,238.72 | $2,238.72 | $4,466.84 |
Fallon Health Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $3,311.31 | Facility | None | $1,698.24 | $2,089.30 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,187.76 | $2,511.89 |
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 $1,862.09 Median $3,388.44 Typical High $4,897.79 | Professional | None | $1,862.09 | $3,388.44 | $4,897.79 |
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 $1,819.70 Median $3,981.07 Typical High $16,982.44 | Professional | None | $1,819.70 | $3,981.07 | $16,982.44 |
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 $1,949.84 Median $2,630.27 Typical High $7,585.78 | Professional | None | $1,949.84 | $2,630.27 | $7,585.78 |
Well Sense Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,737.80 | $2,630.27 |
Well Sense Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,659.59 | Professional | None | $1,230.27 | $1,230.27 | $1,659.59 |
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 $776.25 Median $776.25 Typical High $2,398.83 | Professional | 52 · Reduced service | $776.25 | $776.25 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | 53 · Discontinued | $316.23 | $316.23 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $3,630.78 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $724.44 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $478.63 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $3,388.44 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $275.42 Median $467.74 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $275.42 | $467.74 | $616.60 |
Where Massachusetts sits
The same service costs 9.3 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.
Massachusetts· 19th of 51
$2,692
AK $6,918TX $741
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.