How much rates vary
Facilitymedian $2,512 · 10th to 90th $776 to $6,918Professionalmedian $2,818 · 10th to 90th $1,479 to $11,749
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $4,897.79 | Professional | None | $1,380.38 | $1,380.38 | $4,897.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $9,549.93 | Facility | None | $588.84 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $4,897.79 Typical High $11,748.98 | Professional | None | $1,737.80 | $4,897.79 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,890.45 Typical High $5,754.40 | Facility | None | $588.84 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $5,248.07 | Professional | None | $2,238.72 | $2,238.72 | $5,248.07 |
Fallon Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $3,311.31 | Facility | None | $1,584.89 | $2,238.72 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,949.84 | $2,344.23 | $2,884.03 |
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 $1,905.46 Median $3,548.13 Typical High $7,244.36 | Professional | None | $1,905.46 | $3,548.13 | $7,244.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $9,549.93 | Facility | None | $588.84 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,737.80 Median $4,897.79 Typical High $11,748.98 | Professional | None | $1,737.80 | $4,897.79 | $11,748.98 |
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 $1,862.09 Median $2,570.40 Typical High $7,413.10 | Professional | None | $1,862.09 | $2,570.40 | $7,413.10 |
Well Sense Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $2,754.23 | Facility | None | $1,148.15 | $1,905.46 | $2,754.23 |
Well Sense Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,258.93 | $1,513.56 |
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 $691.83 Median $691.83 Typical High $2,454.71 | Professional | 52 · Reduced service | $691.83 | $691.83 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $1,000.00 | Professional | 53 · Discontinued | $275.42 | $275.42 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $741.31 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $489.78 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $3,467.37 |
Where Massachusetts sits
The same service costs 7.1 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
$2,754
AK $7,079TX $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.