How much rates vary
Facilitymedian $3,020 · 10th to 90th $955 to $12,882Professionalmedian $2,042 · 10th to 90th $1,202 to $9,333
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 $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $3,548.13 | Professional | None | $1,174.90 | $1,174.90 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $707.95 Median $4,265.80 Typical High $15,135.61 | Facility | None | $707.95 | $4,265.80 | $15,135.61 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $3,090.30 Typical High $9,332.54 | Professional | None | $1,348.96 | $3,090.30 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $13,489.63 Typical High $17,378.01 | Facility | None | $676.08 | $13,489.63 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,388.44 | Professional | None | $1,698.24 | $1,698.24 | $3,388.44 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $3,467.37 | Facility | None | $1,288.25 | $1,659.59 | $3,467.37 |
Fallon Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,698.24 | $1,949.84 |
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 $1,412.54 Median $2,630.27 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,630.27 | $3,981.07 |
Health New England Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Health New England Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $707.95 Median $4,265.80 Typical High $15,135.61 | Facility | None | $707.95 | $4,265.80 | $15,135.61 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,348.96 Median $3,090.30 Typical High $9,332.54 | Professional | None | $1,348.96 | $3,090.30 | $9,332.54 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $19,054.61 | Facility | None | $1,071.52 | $3,890.45 | $19,054.61 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $5,754.40 | Professional | None | $1,445.44 | $1,949.84 | $5,754.40 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,905.46 Typical High $7,244.36 | Facility | None | $1,047.13 | $1,905.46 | $7,244.36 |
Well Sense Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
5 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 $891.25 Median $891.25 Typical High $2,691.53 | Professional | 54 · Surgery only | $891.25 | $891.25 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $537.03 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $354.81 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $2,511.89 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $251.19 Typical High $407.38 | Professional | AS · PA/NP assist | $204.17 | $251.19 | $407.38 |
Where Massachusetts sits
The same service costs 8.1 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· 12th of 51
$2,089
AK $5,248TX $646
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.