How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,202 to $7,079Professionalmedian $2,512 · 10th to 90th $1,514 to $12,023
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 $3,467.37 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,467.37 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,096.48 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,288.25 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,621.81 Median $4,365.16 Typical High $12,022.64 | Professional | None | $1,621.81 | $4,365.16 | $12,022.64 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,884.03 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $3,981.07 Typical High $5,888.44 | Facility | None | $446.68 | $3,981.07 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,786.30 | Professional | None | $2,041.74 | $2,041.74 | $4,786.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,479.11 | $1,995.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,778.28 | $2,089.30 | $2,570.40 |
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 $1,778.28 Median $3,235.94 Typical High $5,495.41 | Professional | None | $1,778.28 | $3,235.94 | $5,495.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,288.25 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,621.81 Median $4,365.16 Typical High $12,022.64 | Professional | None | $1,621.81 | $4,365.16 | $12,022.64 |
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 $1,819.70 Median $2,290.87 Typical High $6,760.83 | Professional | None | $1,819.70 | $2,290.87 | $6,760.83 |
Well Sense Setting Facility Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,318.26 | $1,819.70 | $2,511.89 |
Well Sense Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,096.48 | $1,318.26 |
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 $537.03 Median $537.03 Typical High $2,187.76 | Professional | 52 · Reduced service | $537.03 | $537.03 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $870.96 | Professional | 53 · Discontinued | $218.78 | $218.78 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $3,235.94 | Professional | 54 · Surgery only | $812.83 | $812.83 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $645.65 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $436.52 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $3,019.95 |
Where Massachusetts sits
The same service costs 6.3 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· 20th of 51
$2,512
AK $6,457UT $1,023
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.