How much rates vary
Facilitymedian $2,344 · 10th to 90th $513 to $9,120Professionalmedian $759 · 10th to 90th $437 to $3,388
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 $1,778.28 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,778.28 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,000.00 | Professional | None | $363.08 | $363.08 | $1,000.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,096.48 | $3,467.37 | $9,772.37 |
AllWays Health Partners Setting Professional Modifier None Typical Low $501.19 Median $1,230.27 Typical High $3,388.44 | Professional | None | $501.19 | $1,230.27 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $6,456.54 Typical High $9,772.37 | Facility | None | $446.68 | $6,456.54 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $1,318.26 | Professional | None | $707.95 | $724.44 | $1,318.26 |
Fallon Health Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $3,311.31 | Facility | None | $489.78 | $602.56 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $741.31 | Professional | None | $512.86 | $602.56 | $741.31 |
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 $537.03 Median $977.24 Typical High $1,862.09 | Professional | None | $537.03 | $977.24 | $1,862.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,096.48 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,096.48 | $3,467.37 | $9,772.37 |
Mass General Brigham Setting Professional Modifier None Typical Low $501.19 Median $1,230.27 Typical High $3,388.44 | Professional | None | $501.19 | $1,230.27 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $15,848.93 | Facility | None | $1,071.52 | $3,467.37 | $15,848.93 |
United Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,862.09 | Professional | None | $537.03 | $724.44 | $1,862.09 |
Well Sense Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $707.95 | Facility | None | $338.84 | $457.09 | $707.95 |
Well Sense Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | None | $363.08 | $363.08 | $436.52 |
5 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 $177.83 Median $177.83 Typical High $707.95 | Professional | 52 · Reduced service | $177.83 | $177.83 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $281.84 | Professional | 53 · Discontinued | $72.44 | $72.44 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $1,071.52 | Professional | 54 · Surgery only | $269.15 | $269.15 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $213.80 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $141.25 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $141.25 |
Where Massachusetts sits
The same service costs 3.9 times more in Alaska than in New York. 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· 15th of 51
$933
AK $1,905NY $490
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.