How much rates vary
Facilitymedian $2,089 · 10th to 90th $631 to $6,918Professionalmedian $1,072 · 10th to 90th $661 to $5,888
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 $1,862.09 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,862.09 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,862.09 | Professional | None | $616.60 | $616.60 | $1,862.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $8,709.64 | Facility | None | $524.81 | $2,818.38 | $8,709.64 |
AllWays Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,621.81 Typical High $5,888.44 | Professional | None | $724.44 | $1,621.81 | $5,888.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,548.82 | Professional | None | $707.95 | $707.95 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,677.35 Typical High $7,079.46 | Facility | None | $741.31 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,778.28 | Professional | None | $891.25 | $891.25 | $1,778.28 |
Fallon Health Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $3,311.31 | Facility | None | $691.83 | $891.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,047.13 | Professional | None | $794.33 | $912.01 | $1,047.13 |
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 $758.58 Median $1,380.38 Typical High $2,089.30 | Professional | None | $758.58 | $1,380.38 | $2,089.30 |
Health New England Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $18,197.01 | Professional | None | $5,623.41 | $5,623.41 | $18,197.01 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $8,709.64 | Facility | None | $524.81 | $2,818.38 | $8,709.64 |
Mass General Brigham Setting Professional Modifier None Typical Low $724.44 Median $1,621.81 Typical High $5,888.44 | Professional | None | $724.44 | $1,621.81 | $5,888.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $12,302.69 | Facility | None | $851.14 | $2,818.38 | $12,302.69 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $3,019.95 | Professional | None | $758.58 | $1,047.13 | $3,019.95 |
Well Sense Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $2,630.27 | Facility | None | $501.19 | $758.58 | $2,630.27 |
Well Sense Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
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 $302.00 Median $302.00 Typical High $912.01 | Professional | 52 · Reduced service | $302.00 | $302.00 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $371.54 | Professional | 53 · Discontinued | $123.03 | $123.03 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $1,380.38 | Professional | 54 · Surgery only | $457.09 | $457.09 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $275.42 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $186.21 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $1,288.25 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $446.68 Median $758.58 Typical High $1,023.29 | Professional | 62 · Two surgeons | $446.68 | $758.58 | $1,023.29 |
Where Massachusetts sits
The same service costs 8.1 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· 18th of 51
$1,072
AK $2,754TX $339
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.