How much rates vary
Facilitymedian $1,622 · 10th to 90th $617 to $5,623Professionalmedian $955 · 10th to 90th $575 to $9,550
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 $1,621.81 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,621.81 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,621.81 | Professional | None | $537.03 | $537.03 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $630.96 Median $2,041.74 Typical High $5,754.40 | Facility | None | $630.96 | $2,041.74 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $645.65 Median $1,445.44 Typical High $9,549.93 | Professional | None | $645.65 | $1,445.44 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,187.76 Typical High $3,162.28 | Facility | None | $831.76 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,584.89 | Professional | None | $794.33 | $794.33 | $1,584.89 |
Fallon Health Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $3,311.31 | Facility | None | $630.96 | $812.83 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $954.99 | Professional | None | $707.95 | $831.76 | $954.99 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,905.46 | Professional | None | $676.08 | $1,258.93 | $1,905.46 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $2,041.74 Typical High $5,754.40 | Facility | None | $630.96 | $2,041.74 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $645.65 Median $1,445.44 Typical High $9,549.93 | Professional | None | $645.65 | $1,445.44 | $9,549.93 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $2,691.53 | Professional | None | $676.08 | $912.01 | $2,691.53 |
Well Sense Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,096.48 | Facility | None | $489.78 | $812.83 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
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 $269.15 Median $269.15 Typical High $812.83 | Professional | 52 · Reduced service | $269.15 | $269.15 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $323.59 | Professional | 53 · Discontinued | $109.65 | $109.65 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $1,230.27 | Professional | 54 · Surgery only | $407.38 | $407.38 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $245.47 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $162.18 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $1,148.15 |
Where Massachusetts sits
The same service costs 14.1 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· 19th of 51
$955
AK $2,455TX $174
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.