How much rates vary
Facilitymedian $2,042 · 10th to 90th $617 to $6,166Professionalmedian $1,122 · 10th to 90th $676 to $4,898
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 $1,819.70 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,819.70 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,819.70 | Professional | None | $645.65 | $645.65 | $1,819.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $2,187.76 Typical High $5,754.40 | Facility | None | $549.54 | $2,187.76 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,698.24 Typical High $4,897.79 | Professional | None | $741.31 | $1,698.24 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $4,677.35 Typical High $7,079.46 | Facility | None | $446.68 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,862.09 | Professional | None | $954.99 | $954.99 | $1,862.09 |
Fallon Health Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $3,311.31 | Facility | None | $724.44 | $933.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,122.02 | Professional | None | $831.76 | $954.99 | $1,122.02 |
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 $794.33 Median $1,479.11 Typical High $2,238.72 | Professional | None | $794.33 | $1,479.11 | $2,238.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $2,187.76 Typical High $5,754.40 | Facility | None | $549.54 | $2,187.76 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $741.31 Median $1,698.24 Typical High $4,897.79 | Professional | None | $741.31 | $1,698.24 | $4,897.79 |
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 $1,071.52 Typical High $3,162.28 | Professional | None | $758.58 | $1,071.52 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $2,398.83 | Facility | None | $562.34 | $794.33 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $645.65 | Professional | None | $478.63 | $478.63 | $645.65 |
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 $323.59 Median $323.59 Typical High $912.01 | Professional | 52 · Reduced service | $323.59 | $323.59 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $363.08 | Professional | 53 · Discontinued | $128.82 | $128.82 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $1,380.38 | Professional | 54 · Surgery only | $489.78 | $489.78 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $275.42 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $181.97 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $1,288.25 |
Where Massachusetts sits
The same service costs 7.9 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· 14th of 51
$1,148
AK $2,884TX $363
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.