How much rates vary
Facilitymedian $1,950 · 10th to 90th $407 to $4,074Professionalmedian $3,090 · 10th to 90th $1,698 to $12,882
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 $3,090.30 Typical High $5,495.41 | Facility | None | $2,691.53 | $3,090.30 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $5,495.41 | Professional | None | $1,548.82 | $1,548.82 | $5,495.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $4,570.88 | Facility | None | $346.74 | $1,047.13 | $4,570.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,905.46 Median $5,370.32 Typical High $12,882.50 | Professional | None | $1,905.46 | $5,370.32 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $954.99 Typical High $1,380.38 | Facility | None | $50.12 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $5,888.44 | Professional | None | $2,454.71 | $2,454.71 | $5,888.44 |
Fallon Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $3,388.44 | Facility | None | $1,949.84 | $2,398.83 | $3,388.44 |
Fallon Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,454.71 | $3,019.95 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,089.30 Median $3,801.89 Typical High $5,754.40 | Professional | None | $2,089.30 | $3,801.89 | $5,754.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $4,570.88 | Facility | None | $346.74 | $1,047.13 | $4,570.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,905.46 Median $5,370.32 Typical High $12,882.50 | Professional | None | $1,905.46 | $5,370.32 | $12,882.50 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $8,128.31 | Professional | None | $2,041.74 | $2,818.38 | $8,128.31 |
Well Sense Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $3,019.95 | Facility | None | $1,479.11 | $2,041.74 | $3,019.95 |
Well Sense Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | None | $1,412.54 | $1,412.54 | $1,698.24 |
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 $758.58 Median $758.58 Typical High $2,754.23 | Professional | 52 · Reduced service | $758.58 | $758.58 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $1,096.48 | Professional | 53 · Discontinued | $309.03 | $309.03 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $4,073.80 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $4,073.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $812.83 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $549.54 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $3,801.89 |
Where Massachusetts sits
The same service costs 7.8 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· 16th of 51
$2,818
AK $7,762TX $1,000
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.