How much rates vary
Facilitymedian $2,399 · 10th to 90th $891 to $7,413Professionalmedian $1,660 · 10th to 90th $1,000 to $7,762
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 $2,951.21 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,951.21 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,951.21 | Professional | None | $977.24 | $977.24 | $2,951.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $707.95 Median $3,890.45 Typical High $12,022.64 | Facility | None | $707.95 | $3,890.45 | $12,022.64 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $2,570.40 Typical High $7,762.47 | Professional | None | $1,122.02 | $2,570.40 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,623.41 Typical High $7,079.46 | Facility | None | $676.08 | $5,623.41 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,754.23 | Professional | None | $1,412.54 | $1,412.54 | $2,754.23 |
Fallon Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,071.52 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,412.54 | $1,621.81 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,174.90 | $2,187.76 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $707.95 Median $3,890.45 Typical High $12,022.64 | Facility | None | $707.95 | $3,890.45 | $12,022.64 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,122.02 Median $2,570.40 Typical High $7,762.47 | Professional | None | $1,122.02 | $2,570.40 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,595.87 | Facility | None | $1,071.52 | $3,890.45 | $16,595.87 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $4,786.30 | Professional | None | $1,202.26 | $1,584.89 | $4,786.30 |
Well Sense Setting Facility Modifier None Typical Low $870.96 Median $1,584.89 Typical High $2,398.83 | Facility | None | $870.96 | $1,584.89 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,000.00 | Professional | None | $741.31 | $741.31 | $1,000.00 |
4 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 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $2,187.76 | Professional | 54 · Surgery only | $724.44 | $724.44 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $436.52 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $295.12 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $2,041.74 |
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
$1,698
AK $4,266TX $562
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.