How much rates vary
Facilitymedian $2,291 · 10th to 90th $832 to $7,079Professionalmedian $1,950 · 10th to 90th $1,175 to $7,762
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 $3,235.94 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,174.90 | $2,754.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $3,388.44 Typical High $9,549.93 | Facility | None | $691.83 | $3,388.44 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $3,235.94 Typical High $7,762.47 | Professional | None | $1,148.15 | $3,235.94 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $3,890.45 Typical High $5,754.40 | Facility | None | $446.68 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,548.13 | Professional | None | $1,513.56 | $1,513.56 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,096.48 | $1,513.56 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,513.56 | $1,862.09 |
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 $1,258.93 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,258.93 | $2,344.23 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $3,388.44 Typical High $9,549.93 | Facility | None | $691.83 | $3,388.44 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,148.15 Median $3,235.94 Typical High $7,762.47 | Professional | None | $1,148.15 | $3,235.94 | $7,762.47 |
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 $1,288.25 Median $1,737.80 Typical High $5,011.87 | Professional | None | $1,288.25 | $1,737.80 | $5,011.87 |
Well Sense Setting Facility Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,348.96 | $2,089.30 |
Well Sense Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
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 $588.84 Median $588.84 Typical High $1,778.28 | Professional | 52 · Reduced service | $588.84 | $588.84 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $707.95 | Professional | 53 · Discontinued | $234.42 | $234.42 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $2,630.27 | Professional | 54 · Surgery only | $870.96 | $870.96 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $524.81 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $354.81 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $2,454.71 |
Where Massachusetts sits
The same service costs 6.8 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· 14th of 51
$2,042
AK $4,786TX $708
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.