How much rates vary
Facilitymedian $2,692 · 10th to 90th $912 to $8,913Professionalmedian $1,778 · 10th to 90th $1,047 to $8,913
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 $3,090.30 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $3,019.95 | Professional | None | $1,023.29 | $1,023.29 | $3,019.95 |
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 $1,148.15 Median $2,691.53 Typical High $8,912.51 | Professional | None | $1,148.15 | $2,691.53 | $8,912.51 |
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 $1,479.11 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,479.11 | $2,951.21 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $3,311.31 | Facility | None | $1,148.15 | $1,445.44 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,479.11 | $1,737.80 |
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 $1,258.93 Median $2,290.87 Typical High $3,311.31 | Professional | None | $1,258.93 | $2,290.87 | $3,311.31 |
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 $1,148.15 Median $2,691.53 Typical High $8,912.51 | Professional | None | $1,148.15 | $2,691.53 | $8,912.51 |
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 $1,174.90 Median $1,698.24 Typical High $5,011.87 | Professional | None | $1,174.90 | $1,698.24 | $5,011.87 |
Well Sense Setting Facility Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,737.80 | Facility | None | $831.76 | $1,122.02 | $1,737.80 |
Well Sense Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,071.52 | Professional | None | $794.33 | $794.33 | $1,071.52 |
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 $512.86 Median $512.86 Typical High $1,513.56 | Professional | 52 · Reduced service | $512.86 | $512.86 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $602.56 | Professional | 53 · Discontinued | $204.17 | $204.17 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $2,290.87 | Professional | 54 · Surgery only | $776.25 | $776.25 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $457.09 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $302.00 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $2,137.96 |
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· 18th of 51
$1,778
AK $4,571TX $525
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.