How much rates vary
Facilitymedian $525 · 10th to 90th $263 to $3,467Professionalmedian $589 · 10th to 90th $339 to $7,244
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 $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,621.81 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $776.25 Typical High $3,548.13 | Facility | None | $263.03 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $323.59 Median $776.25 Typical High $7,244.36 | Professional | None | $323.59 | $776.25 | $7,244.36 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $812.83 | Professional | None | $354.81 | $575.44 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $741.31 Typical High $1,000.00 | Facility | None | $50.12 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $1,023.29 | Professional | None | $549.54 | $588.84 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $3,311.31 | Facility | None | $371.54 | $446.68 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $575.44 | Professional | None | $389.05 | $446.68 | $575.44 |
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 $338.84 Median $602.56 Typical High $912.01 | Professional | None | $338.84 | $602.56 | $912.01 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $776.25 Typical High $3,548.13 | Facility | None | $263.03 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $323.59 Median $776.25 Typical High $7,244.36 | Professional | None | $323.59 | $776.25 | $7,244.36 |
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 $323.59 Median $457.09 Typical High $1,288.25 | Professional | None | $323.59 | $457.09 | $1,288.25 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $478.63 | Facility | None | $239.88 | $338.84 | $478.63 |
Well Sense Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,995.26 | $1,995.26 | $2,398.83 |
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 54 · Surgery only Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $954.99 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $190.55 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $125.89 | $162.18 | $162.18 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $223.87 Median $380.19 Typical High $512.86 | Professional | 62 · Two surgeons | $223.87 | $380.19 | $512.86 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $489.78 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $288.40 | $489.78 | $660.69 |
Where Massachusetts sits
The same service costs 9.8 times more in Indiana than in Hawaii. 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· 19th of 51
$589
IN $2,344HI $240
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.