How much rates vary
Facilitymedian $1,380 · 10th to 90th $407 to $3,548Professionalmedian $1,905 · 10th to 90th $1,096 to $8,511
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 $933.25 Median $933.25 Typical High $3,548.13 | Professional | None | $933.25 | $933.25 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $954.99 Typical High $3,630.78 | Facility | None | $346.74 | $954.99 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $8,511.38 | Professional | None | $1,230.27 | $3,235.94 | $8,511.38 |
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 $1,737.80 Median $1,862.09 Typical High $3,388.44 | Professional | None | $1,737.80 | $1,862.09 | $3,388.44 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,621.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,621.81 | $1,995.26 |
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 $1,412.54 Median $2,570.40 Typical High $3,801.89 | Professional | None | $1,412.54 | $2,570.40 | $3,801.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $954.99 Typical High $3,630.78 | Facility | None | $346.74 | $954.99 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $8,511.38 | Professional | None | $1,230.27 | $3,235.94 | $8,511.38 |
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 $1,380.38 Median $1,778.28 Typical High $4,897.79 | Professional | None | $1,380.38 | $1,778.28 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,819.70 | Facility | None | $891.25 | $1,202.26 | $1,819.70 |
Well Sense Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Professional | None | $912.01 | $912.01 | $1,096.48 |
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 $467.74 Median $467.74 Typical High $1,778.28 | Professional | 52 · Reduced service | $467.74 | $467.74 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $707.95 | Professional | 53 · Discontinued | $186.21 | $186.21 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $2,630.27 | Professional | 54 · Surgery only | $691.83 | $691.83 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $537.03 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $354.81 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $2,454.71 |
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· 15th of 51
$1,862
AK $4,898TX $724
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.