How much rates vary
Facilitymedian $1,479 · 10th to 90th $407 to $3,548Professionalmedian $2,239 · 10th to 90th $1,259 to $9,772
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 $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $4,073.80 | Professional | None | $1,023.29 | $1,023.29 | $4,073.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,000.00 Typical High $3,630.78 | Facility | None | $346.74 | $1,000.00 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $9,772.37 | Professional | None | $1,445.44 | $3,715.35 | $9,772.37 |
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 $1,778.28 Median $1,778.28 Typical High $4,265.80 | Professional | None | $1,778.28 | $1,778.28 | $4,265.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,348.96 | $1,698.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $2,089.30 | Professional | None | $1,445.44 | $1,698.24 | $2,089.30 |
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 $1,479.11 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,479.11 | $2,691.53 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,000.00 Typical High $3,630.78 | Facility | None | $346.74 | $1,000.00 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $9,772.37 | Professional | None | $1,445.44 | $3,715.35 | $9,772.37 |
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 $1,548.82 Median $2,137.96 Typical High $5,888.44 | Professional | None | $1,548.82 | $2,137.96 | $5,888.44 |
Well Sense Setting Facility Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,187.76 | Facility | None | $1,071.52 | $1,445.44 | $2,187.76 |
Well Sense Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
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 $512.86 Median $512.86 Typical High $2,041.74 | Professional | 52 · Reduced service | $512.86 | $512.86 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $812.83 | Professional | 53 · Discontinued | $208.93 | $208.93 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $3,019.95 | Professional | 54 · Surgery only | $776.25 | $776.25 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $602.56 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $407.38 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $2,818.38 |
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· 22nd of 51
$1,995
AK $5,754TX $741
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.