How much rates vary
Facilitymedian $2,042 · 10th to 90th $759 to $7,079Professionalmedian $1,318 · 10th to 90th $741 to $5,623
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 $1,949.84 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $2,238.72 | Professional | None | $616.60 | $616.60 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $3,090.30 Typical High $9,549.93 | Facility | None | $691.83 | $3,090.30 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $831.76 Median $2,344.23 Typical High $5,623.41 | Professional | None | $831.76 | $2,344.23 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,890.45 Typical High $5,754.40 | Facility | None | $831.76 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,071.52 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $831.76 Median $1,096.48 Typical High $3,311.31 | Facility | None | $831.76 | $1,096.48 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,348.96 | Professional | None | $912.01 | $1,096.48 | $1,348.96 |
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 $912.01 Median $1,659.59 Typical High $2,884.03 | Professional | None | $912.01 | $1,659.59 | $2,884.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $3,090.30 Typical High $9,549.93 | Facility | None | $691.83 | $3,090.30 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $831.76 Median $2,344.23 Typical High $5,623.41 | Professional | None | $831.76 | $2,344.23 | $5,623.41 |
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 $912.01 Median $1,202.26 Typical High $3,548.13 | Professional | None | $912.01 | $1,202.26 | $3,548.13 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,905.46 | Facility | None | $691.83 | $1,047.13 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | None | $575.44 | $575.44 | $691.83 |
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 $309.03 Median $309.03 Typical High $1,122.02 | Professional | 52 · Reduced service | $309.03 | $309.03 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $446.68 | Professional | 53 · Discontinued | $123.03 | $123.03 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $1,659.59 | Professional | 54 · Surgery only | $457.09 | $457.09 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $331.13 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $223.87 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $1,548.82 |
Where Massachusetts sits
The same service costs 7.4 times more in Oklahoma 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· 13th of 51
$1,549
OK $3,890TX $525
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.