How much rates vary
Facilitymedian $1,148 · 10th to 90th $575 to $3,631Professionalmedian $1,175 · 10th to 90th $708 to $5,129
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $2,187.76 | Professional | None | $691.83 | $691.83 | $2,187.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $1,258.93 Typical High $3,630.78 | Facility | None | $338.84 | $1,258.93 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $794.33 Median $1,737.80 Typical High $5,128.61 | Professional | None | $794.33 | $1,737.80 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,380.38 Typical High $1,737.80 | Facility | None | $741.31 | $1,380.38 | $1,737.80 |
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 $776.25 Median $977.24 Typical High $3,311.31 | Facility | None | $776.25 | $977.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,148.15 | Professional | None | $851.14 | $1,000.00 | $1,148.15 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $851.14 Median $1,548.82 Typical High $2,187.76 | Professional | None | $851.14 | $1,548.82 | $2,187.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $1,258.93 Typical High $3,630.78 | Facility | None | $338.84 | $1,258.93 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $794.33 Median $1,737.80 Typical High $5,128.61 | Professional | None | $794.33 | $1,737.80 | $5,128.61 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,309.57 | Facility | None | $575.44 | $1,380.38 | $6,309.57 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $3,162.28 | Professional | None | $851.14 | $1,148.15 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $1,122.02 | Facility | None | $537.03 | $741.31 | $1,122.02 |
Well Sense Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | None | $549.54 | $549.54 | $741.31 |
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 $346.74 Median $346.74 Typical High $1,071.52 | Professional | 52 · Reduced service | $346.74 | $346.74 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $436.52 | Professional | 53 · Discontinued | $138.04 | $138.04 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $1,621.81 | Professional | 54 · Surgery only | $512.86 | $512.86 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $323.59 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $218.78 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $1,513.56 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $1,071.52 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $616.60 | $1,071.52 | $1,412.54 |
Where Massachusetts sits
The same service costs 4.3 times more in Alaska than in Alabama. 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.
Physician feeFacility fee
AK $6,582AL $1,537
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.