How much rates vary
Facilitymedian $1,175 · 10th to 90th $407 to $3,548Professionalmedian $1,549 · 10th to 90th $891 to $7,586
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 $2,818.38 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $2,818.38 | Professional | None | $741.31 | $741.31 | $2,818.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $2,691.53 Typical High $7,585.78 | Professional | None | $1,023.29 | $2,691.53 | $7,585.78 |
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 $1,412.54 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,412.54 | $1,513.56 | $2,691.53 |
Fallon Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $3,311.31 | Facility | None | $1,047.13 | $1,318.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,318.26 | $1,621.81 |
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 $1,148.15 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,148.15 | $2,089.30 | $3,019.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,023.29 Median $2,691.53 Typical High $7,585.78 | Professional | None | $1,023.29 | $2,691.53 | $7,585.78 |
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 $1,047.13 Median $1,412.54 Typical High $3,981.07 | Professional | None | $1,047.13 | $1,412.54 | $3,981.07 |
Well Sense Setting Facility Modifier None Typical Low $724.44 Median $977.24 Typical High $1,479.11 | Facility | None | $724.44 | $977.24 | $1,479.11 |
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 $371.54 Median $371.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $562.34 | Professional | 53 · Discontinued | $151.36 | $151.36 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $2,089.30 | Professional | 54 · Surgery only | $562.34 | $562.34 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $426.58 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $281.84 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $1,949.84 |
Where Massachusetts sits
The same service costs 6.8 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· 16th of 51
$1,514
AK $3,981TX $589
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.