How much rates vary
Facilitymedian $1,047 · 10th to 90th $257 to $4,266Professionalmedian $525 · 10th to 90th $282 to $1,349
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 $758.58 Median $2,691.53 Typical High $3,715.35 | Facility | None | $758.58 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $758.58 | Professional | None | $223.87 | $363.08 | $758.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $2,041.74 Typical High $5,623.41 | Facility | None | $457.09 | $2,041.74 | $5,623.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $602.56 Typical High $2,691.53 | Professional | None | $302.00 | $602.56 | $2,691.53 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $575.44 | Facility | None | $257.04 | $309.03 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $3,162.28 | Facility | None | $588.84 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $912.01 | Professional | None | $316.23 | $489.78 | $912.01 |
Fallon Health Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $3,311.31 | Facility | None | $251.19 | $331.13 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $630.96 | Professional | None | $467.74 | $537.03 | $630.96 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $1,071.52 | Professional | None | $302.00 | $588.84 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $2,041.74 Typical High $5,623.41 | Facility | None | $457.09 | $2,041.74 | $5,623.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $602.56 Typical High $2,691.53 | Professional | None | $302.00 | $602.56 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $1,071.52 | Professional | None | $309.03 | $512.86 | $1,071.52 |
Well Sense Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $1,096.48 | Facility | None | $208.93 | $363.08 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $331.13 | Professional | None | $181.97 | $245.47 | $331.13 |
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 $112.20 Median $181.97 Typical High $380.19 | Professional | 52 · Reduced service | $112.20 | $181.97 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $74.13 Typical High $151.36 | Professional | 53 · Discontinued | $44.67 | $74.13 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $275.42 Typical High $562.34 | Professional | 54 · Surgery only | $165.96 | $275.42 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $54.95 Typical High $112.20 | Professional | 55 · Aftercare only | $33.11 | $54.95 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $36.31 Typical High $75.86 | Professional | 56 · Pre-op care only | $22.39 | $36.31 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $257.04 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $154.88 | $257.04 | $524.81 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $177.83 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $117.49 | $177.83 | $239.88 |
Where Massachusetts sits
The same service costs 5.5 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· 10th of 51
$525
AK $1,202TX $219
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.