How much rates vary
Facilitymedian $1,820 · 10th to 90th $741 to $5,623Professionalmedian $1,549 · 10th to 90th $933 to $6,918
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 $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $2,290.87 | Professional | None | $933.25 | $933.25 | $2,290.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,187.76 Typical High $5,754.40 | Facility | None | $575.44 | $2,187.76 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $933.25 Median $2,344.23 Typical High $6,918.31 | Professional | None | $933.25 | $2,344.23 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,187.76 Typical High $3,162.28 | Facility | None | $446.68 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,288.25 | $2,570.40 |
Fallon Health Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $3,311.31 | Facility | None | $912.01 | $1,258.93 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,288.25 | $1,479.11 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $758.58 Median $2,818.38 Typical High $7,762.47 | Facility | None | $758.58 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,995.26 | $3,019.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,187.76 Typical High $5,754.40 | Facility | None | $575.44 | $2,187.76 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $933.25 Median $2,344.23 Typical High $6,918.31 | Professional | None | $933.25 | $2,344.23 | $6,918.31 |
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 $1,023.29 Median $1,445.44 Typical High $4,365.16 | Professional | None | $1,023.29 | $1,445.44 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,513.56 | Facility | None | $812.83 | $1,096.48 | $1,513.56 |
Well Sense Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
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 $467.74 Median $467.74 Typical High $1,148.15 | Professional | 52 · Reduced service | $467.74 | $467.74 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $457.09 | Professional | 53 · Discontinued | $186.21 | $186.21 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $1,698.24 | Professional | 54 · Surgery only | $707.95 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $338.84 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $229.09 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $1,584.89 |
Where Massachusetts sits
The same service costs 7.6 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
$1,585
AK $3,981TX $525
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.