How much rates vary
Facilitymedian $2,884 · 10th to 90th $912 to $8,128Professionalmedian $2,630 · 10th to 90th $1,622 to $12,589
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 $1,548.82 Median $1,548.82 Typical High $4,677.35 | Professional | None | $1,548.82 | $1,548.82 | $4,677.35 |
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 $1,778.28 Median $3,981.07 Typical High $12,589.25 | Professional | None | $1,778.28 | $3,981.07 | $12,589.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,630.78 | Professional | None | $1,698.24 | $1,698.24 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,754.40 Typical High $7,079.46 | Facility | None | $676.08 | $5,754.40 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $4,365.16 | Professional | None | $2,187.76 | $2,187.76 | $4,365.16 |
Fallon Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $3,630.78 | Facility | None | $1,621.81 | $2,041.74 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,862.09 | $2,137.96 | $2,511.89 |
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 $1,819.70 Median $3,388.44 Typical High $5,011.87 | Professional | None | $1,819.70 | $3,388.44 | $5,011.87 |
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 $1,778.28 Median $3,981.07 Typical High $12,589.25 | Professional | None | $1,778.28 | $3,981.07 | $12,589.25 |
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 $1,905.46 Median $2,570.40 Typical High $7,585.78 | Professional | None | $1,905.46 | $2,570.40 | $7,585.78 |
Well Sense Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $2,884.03 | Facility | None | $1,380.38 | $2,187.76 | $2,884.03 |
Well Sense Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,202.26 | $1,621.81 |
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 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $707.95 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $467.74 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $3,311.31 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $2,290.87 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,348.96 | $2,290.87 | $3,090.30 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $269.15 Median $446.68 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $269.15 | $446.68 | $616.60 |
Where Massachusetts sits
The same service costs 7.8 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· 16th of 51
$2,630
AK $6,761TX $871
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.