How much rates vary
Facilitymedian $309 · 10th to 90th $100 to $2,239Professionalmedian $380 · 10th to 90th $186 to $933
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 $489.78 Median $2,187.76 Typical High $3,630.78 | Facility | None | $489.78 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $436.52 | Professional | None | $138.04 | $162.18 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $467.74 Typical High $1,862.09 | Facility | None | $93.33 | $467.74 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $199.53 Median $457.09 Typical High $1,949.84 | Professional | None | $199.53 | $457.09 | $1,949.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $549.54 | Facility | None | $239.88 | $288.40 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $181.97 Typical High $263.03 | Facility | None | $53.70 | $181.97 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $588.84 | Professional | None | $281.84 | $338.84 | $588.84 |
Fallon Health Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $3,311.31 | Facility | None | $234.42 | $302.00 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $467.74 | Professional | None | $354.81 | $407.38 | $467.74 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $245.47 Median $489.78 Typical High $758.58 | Professional | None | $245.47 | $489.78 | $758.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $467.74 Typical High $1,862.09 | Facility | None | $93.33 | $467.74 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $199.53 Median $457.09 Typical High $1,949.84 | Professional | None | $199.53 | $457.09 | $1,949.84 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $891.25 | Professional | None | $204.17 | $323.59 | $891.25 |
Well Sense Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $363.08 | Facility | None | $93.33 | $213.80 | $363.08 |
Well Sense Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $144.54 | Professional | None | $107.15 | $120.23 | $144.54 |
8 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 $69.18 Median $81.28 Typical High $218.78 | Professional | 52 · Reduced service | $69.18 | $81.28 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $87.10 | Professional | 53 · Discontinued | $27.54 | $32.36 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $120.23 Typical High $323.59 | Professional | 54 · Surgery only | $102.33 | $120.23 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $23.99 Typical High $64.57 | Professional | 55 · Aftercare only | $20.42 | $23.99 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.22 Typical High $43.65 | Professional | 56 · Pre-op care only | $13.80 | $16.22 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $112.20 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $95.50 | $112.20 | $302.00 |
BCBS Massachusetts Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $245.47 Typical High $389.05 | Professional | 54 · Surgery only | $162.18 | $245.47 | $389.05 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $77.62 Typical High $104.71 | Professional | 78 · Unplanned return to OR | $67.61 | $77.62 | $104.71 |
Where Massachusetts sits
The same service costs 5.0 times more in Alaska than in Florida. 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
$372
AK $832FL $166
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.