How much rates vary
Facilitymedian $1,660 · 10th to 90th $646 to $5,623Professionalmedian $1,023 · 10th to 90th $617 to $5,370
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 $1,778.28 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,778.28 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,778.28 | Professional | None | $588.84 | $588.84 | $1,778.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,041.74 Typical High $5,754.40 | Facility | None | $575.44 | $2,041.74 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,548.82 Typical High $5,370.32 | Professional | None | $660.69 | $1,548.82 | $5,370.32 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,479.11 | Professional | None | $691.83 | $691.83 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,187.76 Typical High $3,162.28 | Facility | None | $676.08 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,698.24 | Professional | None | $851.14 | $851.14 | $1,698.24 |
Fallon Health Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $3,311.31 | Facility | None | $660.69 | $851.14 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,023.29 | Professional | None | $758.58 | $870.96 | $1,023.29 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $3,019.95 Typical High $7,762.47 | Facility | None | $741.31 | $3,019.95 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $2,041.74 | Professional | None | $724.44 | $1,348.96 | $2,041.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,041.74 Typical High $5,754.40 | Facility | None | $575.44 | $2,041.74 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $660.69 Median $1,548.82 Typical High $5,370.32 | Professional | None | $660.69 | $1,548.82 | $5,370.32 |
United Setting Facility Modifier None Typical Low $851.14 Median $3,235.94 Typical High $9,549.93 | Facility | None | $851.14 | $3,235.94 | $9,549.93 |
United Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $2,884.03 | Professional | None | $707.95 | $977.24 | $2,884.03 |
Well Sense Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $1,122.02 | Facility | None | $537.03 | $758.58 | $1,122.02 |
Well Sense Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | None | $446.68 | $446.68 | $602.56 |
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 $295.12 Median $295.12 Typical High $891.25 | Professional | 52 · Reduced service | $295.12 | $295.12 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $354.81 | Professional | 53 · Discontinued | $117.49 | $117.49 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $1,318.26 | Professional | 54 · Surgery only | $446.68 | $446.68 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $263.03 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $177.83 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $1,230.27 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $933.25 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $549.54 | $933.25 | $1,258.93 |
Where Massachusetts sits
The same service costs 7.4 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· 21st of 51
$1,023
AK $2,630TX $355
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.