How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,096 to $20,893Professionalmedian $2,089 · 10th to 90th $1,148 to $9,120
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 $3,467.37 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,467.37 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,884.03 | Professional | None | $977.24 | $977.24 | $2,884.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $6,309.57 Typical High $26,302.68 | Facility | None | $954.99 | $6,309.57 | $26,302.68 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $3,235.94 Typical High $9,120.11 | Professional | None | $1,174.90 | $3,235.94 | $9,120.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,090.30 | Professional | None | $1,412.54 | $1,412.54 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $18,620.87 Typical High $26,915.35 | Facility | None | $741.31 | $18,620.87 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,778.28 | $1,778.28 | $3,548.13 |
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 $1,584.89 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,819.70 | $2,089.30 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $14,125.38 | Facility | None | $1,096.48 | $4,073.80 | $14,125.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $3,981.07 | Professional | None | $1,513.56 | $2,818.38 | $3,981.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $6,309.57 Typical High $26,302.68 | Facility | None | $954.99 | $6,309.57 | $26,302.68 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $3,235.94 Typical High $9,120.11 | Professional | None | $1,174.90 | $3,235.94 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $4,073.80 Typical High $33,884.42 | Facility | None | $1,258.93 | $4,073.80 | $33,884.42 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $5,888.44 | Professional | None | $1,230.27 | $1,905.46 | $5,888.44 |
Well Sense Setting Facility Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,348.96 | $2,089.30 |
Well Sense Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
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 $489.78 Median $489.78 Typical High $1,445.44 | Professional | 52 · Reduced service | $489.78 | $489.78 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $575.44 | Professional | 53 · Discontinued | $194.98 | $194.98 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $2,187.76 | Professional | 54 · Surgery only | $741.31 | $741.31 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $436.52 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $288.40 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $229.09 Median $338.84 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $229.09 | $338.84 | $407.38 |
Where Massachusetts sits
The same service costs 7.3 times more in Alabama 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.
Physician feeFacility fee
AL $22,698TX $3,114
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.