How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,023 to $7,079Professionalmedian $1,660 · 10th to 90th $891 to $7,413
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 $831.76 Median $831.76 Typical High $1,174.90 | Professional | None | $831.76 | $831.76 | $1,174.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,288.25 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $7,413.10 | Professional | None | $1,096.48 | $2,630.27 | $7,413.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,570.88 Typical High $5,888.44 | Facility | None | $676.08 | $4,570.88 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,412.54 | $3,311.31 |
Fallon Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,445.44 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,445.44 | $1,778.28 |
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 $1,202.26 Median $2,238.72 Typical High $4,677.35 | Professional | None | $1,202.26 | $2,238.72 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,288.25 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $7,413.10 | Professional | None | $1,096.48 | $2,630.27 | $7,413.10 |
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 $1,230.27 Median $1,659.59 Typical High $4,677.35 | Professional | None | $1,230.27 | $1,659.59 | $4,677.35 |
Well Sense Setting Facility Modifier None Typical Low $851.14 Median $1,659.59 Typical High $1,949.84 | Facility | None | $851.14 | $1,659.59 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | None | $707.95 | $707.95 | $851.14 |
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 $416.87 Median $416.87 Typical High $489.78 | Professional | 52 · Reduced service | $416.87 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | 53 · Discontinued | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | 54 · Surgery only | $630.96 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $691.83 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $11,546MT $3,436
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.