How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,023 to $8,318Professionalmedian $3,090 · 10th to 90th $1,820 to $13,490
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 $2,089.30 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,862.09 | $1,862.09 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $14,454.40 | Facility | None | $831.76 | $4,265.80 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $4,786.30 Typical High $13,489.63 | Professional | None | $1,513.56 | $4,786.30 | $13,489.63 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,041.74 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,187.76 Typical High $3,162.28 | Facility | None | $741.31 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $5,248.07 | Professional | None | $2,691.53 | $2,691.53 | $5,248.07 |
Fallon Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,548.13 | Facility | None | $1,819.70 | $2,511.89 | $3,548.13 |
Fallon Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $3,019.95 | Professional | None | $2,238.72 | $2,630.27 | $3,019.95 |
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 $2,041.74 Median $4,073.80 Typical High $5,888.44 | Professional | None | $2,041.74 | $4,073.80 | $5,888.44 |
Health New England Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $14,454.40 | Facility | None | $831.76 | $4,265.80 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,513.56 Median $4,786.30 Typical High $13,489.63 | Professional | None | $1,513.56 | $4,786.30 | $13,489.63 |
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 $1,479.11 Median $2,951.21 Typical High $8,709.64 | Professional | None | $1,479.11 | $2,951.21 | $8,709.64 |
Well Sense Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $3,090.30 | Facility | None | $1,513.56 | $2,089.30 | $3,090.30 |
Well Sense Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
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 $933.25 Median $933.25 Typical High $1,737.80 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $691.83 | Professional | 53 · Discontinued | $380.19 | $380.19 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $512.86 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $346.74 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $2,398.83 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $323.59 Median $562.34 Typical High $741.31 | Professional | 82 · Assistant surgeon, no resident | $323.59 | $562.34 | $741.31 |
Where Massachusetts sits
The same service costs 5.4 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.
Physician feeFacility fee
AK $18,090TX $3,341
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.