How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,072 to $7,079Professionalmedian $1,862 · 10th to 90th $955 to $8,128
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 $776.25 Median $776.25 Typical High $2,754.23 | Professional | None | $776.25 | $776.25 | $2,754.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,230.27 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $3,388.44 Typical High $8,128.31 | Professional | None | $1,148.15 | $3,388.44 | $8,128.31 |
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 $1,548.82 Median $1,548.82 Typical High $3,630.78 | Professional | None | $1,548.82 | $1,548.82 | $3,630.78 |
Fallon Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,548.82 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,548.82 | $1,905.46 |
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 $1,318.26 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,318.26 | $2,398.83 | $3,981.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,230.27 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,148.15 Median $3,388.44 Typical High $8,128.31 | Professional | None | $1,148.15 | $3,388.44 | $8,128.31 |
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 $1,148.15 Median $1,737.80 Typical High $5,128.61 | Professional | None | $1,148.15 | $1,737.80 | $5,128.61 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,905.46 | Facility | None | $933.25 | $1,288.25 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | None | $724.44 | $724.44 | $870.96 |
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 $389.05 Median $389.05 Typical High $1,380.38 | Professional | 52 · Reduced service | $389.05 | $389.05 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $549.54 | Professional | 53 · Discontinued | $154.88 | $154.88 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $2,089.30 | Professional | 54 · Surgery only | $575.44 | $575.44 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $416.87 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $275.42 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $1,949.84 |
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· 14th of 51
$2,138
AK $4,898TX $759
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.