How much rates vary
Facilitymedian $2,344 · 10th to 90th $955 to $6,918Professionalmedian $2,239 · 10th to 90th $1,202 to $9,550
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 $2,691.53 Median $3,388.44 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,388.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,290.87 | Professional | None | $977.24 | $977.24 | $2,290.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,467.37 Typical High $9,549.93 | Facility | None | $724.44 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $3,801.89 Typical High $9,549.93 | Professional | None | $1,380.38 | $3,801.89 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,890.45 Typical High $5,754.40 | Facility | None | $954.99 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,073.80 | Professional | None | $1,737.80 | $1,737.80 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,862.09 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,584.89 | $1,905.46 | $2,344.23 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $4,677.35 | Professional | None | $1,548.82 | $2,884.03 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,467.37 Typical High $9,549.93 | Facility | None | $724.44 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,380.38 Median $3,801.89 Typical High $9,549.93 | Professional | None | $1,380.38 | $3,801.89 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $5,754.40 | Professional | None | $1,380.38 | $1,995.26 | $5,754.40 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,047.13 | $1,548.82 | $2,344.23 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None | $851.14 | $851.14 | $1,023.29 |
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 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $1,698.24 | Professional | 52 · Reduced service | $489.78 | $489.78 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $691.83 | Professional | 53 · Discontinued | $199.53 | $199.53 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $2,570.40 | Professional | 54 · Surgery only | $741.31 | $741.31 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $512.86 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $346.74 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $2,398.83 |
Where Massachusetts sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 18th of 51
$2,291
AK $5,495UT $933
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.