How much rates vary
Facilitymedian $1,862 · 10th to 90th $832 to $5,754Professionalmedian $1,738 · 10th to 90th $933 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 $3,090.30 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $3,090.30 | Professional | None | $812.83 | $812.83 | $3,090.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $630.96 Median $2,570.40 Typical High $9,120.11 | Facility | None | $630.96 | $2,570.40 | $9,120.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,413.10 | Professional | None | $1,122.02 | $2,754.23 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,890.45 Typical High $5,754.40 | Facility | None | $831.76 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,348.96 | $3,235.94 |
Fallon Health Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $3,311.31 | Facility | None | $977.24 | $1,258.93 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,258.93 | $1,584.89 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $3,981.07 | Professional | None | $1,122.02 | $2,041.74 | $3,981.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $2,570.40 Typical High $9,120.11 | Facility | None | $630.96 | $2,570.40 | $9,120.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,413.10 | Professional | None | $1,122.02 | $2,754.23 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $11,481.54 | Facility | None | $1,047.13 | $2,344.23 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $4,365.16 | Professional | None | $1,202.26 | $1,584.89 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,659.59 | Facility | None | $794.33 | $1,096.48 | $1,659.59 |
Well Sense Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
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 $407.38 Median $407.38 Typical High $1,548.82 | Professional | 52 · Reduced service | $407.38 | $407.38 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $616.60 | Professional | 53 · Discontinued | $162.18 | $162.18 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $2,290.87 | Professional | 54 · Surgery only | $616.60 | $616.60 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $457.09 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $309.03 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $2,137.96 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $11,283KY $2,440
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.