How much rates vary
Facilitymedian $1,698 · 10th to 90th $575 to $6,607Professionalmedian $871 · 10th to 90th $525 to $3,890
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 $489.78 Median $489.78 Typical High $1,412.54 | Professional | None | $489.78 | $489.78 | $1,412.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,041.74 Typical High $7,079.46 | Facility | None | $575.44 | $2,041.74 | $7,079.46 |
AllWays Health Partners Setting Professional Modifier None Typical Low $575.44 Median $1,348.96 Typical High $3,890.45 | Professional | None | $575.44 | $1,348.96 | $3,890.45 |
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 $741.31 Median $741.31 Typical High $1,479.11 | Professional | None | $741.31 | $741.31 | $1,479.11 |
Fallon Health Setting Facility Modifier None Typical Low $575.44 Median $776.25 Typical High $3,311.31 | Facility | None | $575.44 | $776.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $891.25 | Professional | None | $660.69 | $776.25 | $891.25 |
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 $630.96 Median $1,148.15 Typical High $1,737.80 | Professional | None | $630.96 | $1,148.15 | $1,737.80 |
Health New England Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Health New England Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,041.74 Typical High $7,079.46 | Facility | None | $575.44 | $2,041.74 | $7,079.46 |
Mass General Brigham Setting Professional Modifier None Typical Low $575.44 Median $1,348.96 Typical High $3,890.45 | Professional | None | $575.44 | $1,348.96 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $12,022.64 | Facility | None | $1,071.52 | $3,890.45 | $12,022.64 |
United Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $2,454.71 | Professional | None | $588.84 | $812.83 | $2,454.71 |
Well Sense Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $1,096.48 | Facility | None | $436.52 | $758.58 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | None | $363.08 | $363.08 | $489.78 |
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 $245.47 Median $245.47 Typical High $707.95 | Professional | 52 · Reduced service | $245.47 | $245.47 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $281.84 | Professional | 53 · Discontinued | $97.72 | $97.72 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $1,047.13 | Professional | 54 · Surgery only | $371.54 | $371.54 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $208.93 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $141.25 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $977.24 |
BCBS Massachusetts Setting Professional Modifier 80 · Assistant surgeon + 82 · Assistant surgeon, no resident Typical Low $95.50 Median $158.49 Typical High $218.78 | Professional | 80 · Assistant surgeon + 82 · Assistant surgeon, no resident | $95.50 | $158.49 | $218.78 |
Where Massachusetts sits
The same service costs 7.9 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· 15th of 51
$891
AK $2,239TX $282
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.