How much rates vary
Facilitymedian $2,042 · 10th to 90th $741 to $8,318Professionalmedian $1,148 · 10th to 90th $708 to $5,012
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 $1,949.84 Median $3,090.30 Typical High $6,309.57 | Facility | None | $1,949.84 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,949.84 | Professional | None | $549.54 | $549.54 | $1,949.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $812.83 Median $3,890.45 Typical High $14,454.40 | Facility | None | $812.83 | $3,890.45 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,737.80 Typical High $5,011.87 | Professional | None | $741.31 | $1,737.80 | $5,011.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,659.59 | Professional | None | $758.58 | $758.58 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,754.23 Typical High $4,073.80 | Facility | None | $741.31 | $2,754.23 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
Fallon Health Setting Facility Modifier None Typical Low $741.31 Median $954.99 Typical High $3,311.31 | Facility | None | $741.31 | $954.99 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,148.15 | Professional | None | $851.14 | $977.24 | $1,148.15 |
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 $812.83 Median $1,479.11 Typical High $2,137.96 | Professional | None | $812.83 | $1,479.11 | $2,137.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $812.83 Median $3,890.45 Typical High $14,454.40 | Facility | None | $812.83 | $3,890.45 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $741.31 Median $1,737.80 Typical High $5,011.87 | Professional | None | $741.31 | $1,737.80 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $12,022.64 | Facility | None | $1,071.52 | $3,890.45 | $12,022.64 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $3,162.28 | Professional | None | $776.25 | $1,122.02 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,122.02 | Facility | None | $549.54 | $758.58 | $1,122.02 |
Well Sense Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | None | $446.68 | $446.68 | $602.56 |
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 $275.42 Median $275.42 Typical High $954.99 | Professional | 52 · Reduced service | $275.42 | $275.42 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $389.05 | Professional | 53 · Discontinued | $109.65 | $109.65 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $1,445.44 | Professional | 54 · Surgery only | $407.38 | $407.38 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $288.40 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $194.98 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $1,348.96 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $812.83 Typical High $1,096.48 | Professional | 62 · Two surgeons | $478.63 | $812.83 | $1,096.48 |
Where Massachusetts sits
The same service costs 7.6 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· 14th of 51
$1,175
AK $2,951TX $389
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.