How much rates vary
Facilitymedian $2,239 · 10th to 90th $794 to $6,457Professionalmedian $2,344 · 10th to 90th $1,288 to $9,333
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 $4,365.16 | Professional | None | $1,174.90 | $1,174.90 | $4,365.16 |
AllWays Health Partners Setting Facility Modifier None Typical Low $645.65 Median $3,162.28 Typical High $9,549.93 | Facility | None | $645.65 | $3,162.28 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $3,890.45 Typical High $9,332.54 | Professional | None | $1,479.11 | $3,890.45 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,890.45 Typical High $5,754.40 | Facility | None | $741.31 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,265.80 | Professional | None | $1,819.70 | $1,819.70 | $4,265.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,778.28 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,548.82 | $1,819.70 | $2,238.72 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $4,570.88 | Professional | None | $1,513.56 | $2,818.38 | $4,570.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $645.65 Median $3,162.28 Typical High $9,549.93 | Facility | None | $645.65 | $3,162.28 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,479.11 Median $3,890.45 Typical High $9,332.54 | Professional | None | $1,479.11 | $3,890.45 | $9,332.54 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $12,302.69 | Facility | None | $851.14 | $2,818.38 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $6,025.60 | Professional | None | $1,621.81 | $2,187.76 | $6,025.60 |
Well Sense Setting Facility Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,238.72 | Facility | None | $1,071.52 | $1,479.11 | $2,238.72 |
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 |
7 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 $2,137.96 | Professional | 52 · Reduced service | $588.84 | $588.84 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $870.96 | Professional | 53 · Discontinued | $234.42 | $234.42 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $3,235.94 | Professional | 54 · Surgery only | $891.25 | $891.25 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $645.65 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $436.52 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 62 · Two surgeons | $1,548.82 | $1,548.82 | $1,548.82 |
Where Massachusetts sits
The same service costs 6.5 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· 19th of 51
$2,344
AK $5,754TX $891
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.