How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,047 to $8,913Professionalmedian $2,188 · 10th to 90th $1,318 to $11,220
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 $1,288.25 Median $1,288.25 Typical High $3,890.45 | Professional | None | $1,288.25 | $1,288.25 | $3,890.45 |
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 $1,445.44 Median $3,311.31 Typical High $11,220.18 | Professional | None | $1,445.44 | $3,311.31 | $11,220.18 |
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 $1,819.70 Median $1,819.70 Typical High $3,630.78 | Professional | None | $1,819.70 | $1,819.70 | $3,630.78 |
Fallon Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,412.54 | $1,778.28 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,819.70 | $2,089.30 |
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 $1,548.82 Median $2,818.38 Typical High $4,073.80 | Professional | None | $1,548.82 | $2,818.38 | $4,073.80 |
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 $1,445.44 Median $3,311.31 Typical High $11,220.18 | Professional | None | $1,445.44 | $3,311.31 | $11,220.18 |
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 $1,479.11 Median $2,137.96 Typical High $6,309.57 | Professional | None | $1,479.11 | $2,137.96 | $6,309.57 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,137.96 | Facility | None | $1,047.13 | $1,412.54 | $2,137.96 |
Well Sense Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
6 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 $645.65 Median $645.65 Typical High $1,949.84 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $776.25 | Professional | 53 · Discontinued | $257.04 | $257.04 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $2,884.03 | Professional | 54 · Surgery only | $954.99 | $954.99 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $575.44 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $389.05 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $2,691.53 |
Where Massachusetts sits
The same service costs 18.6 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· 17th of 51
$2,188
AK $5,623TX $302
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.