How much rates vary
Facilitymedian $1,023 · 10th to 90th $407 to $3,548Professionalmedian $1,259 · 10th to 90th $708 to $8,913
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 $2,290.87 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,290.87 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $2,290.87 | Professional | None | $512.86 | $512.86 | $2,290.87 |
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 $831.76 Median $2,041.74 Typical High $8,912.51 | Professional | None | $831.76 | $2,041.74 | $8,912.51 |
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 $1,202.26 Median $1,202.26 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,202.26 | $2,137.96 |
Fallon Health Setting Facility Modifier None Typical Low $851.14 Median $1,096.48 Typical High $3,311.31 | Facility | None | $851.14 | $1,096.48 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,318.26 | Professional | None | $933.25 | $1,071.52 | $1,318.26 |
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 $933.25 Median $1,698.24 Typical High $2,570.40 | Professional | None | $933.25 | $1,698.24 | $2,570.40 |
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 $831.76 Median $2,041.74 Typical High $8,912.51 | Professional | None | $831.76 | $2,041.74 | $8,912.51 |
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 $912.01 Median $1,258.93 Typical High $3,388.44 | Professional | None | $912.01 | $1,258.93 | $3,388.44 |
Well Sense Setting Facility Modifier None Typical Low $575.44 Median $776.25 Typical High $1,174.90 | Facility | None | $575.44 | $776.25 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | None | $588.84 | $588.84 | $707.95 |
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 $257.04 Median $257.04 Typical High $1,148.15 | Professional | 52 · Reduced service | $257.04 | $257.04 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $457.09 | Professional | 53 · Discontinued | $102.33 | $102.33 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $1,737.80 | Professional | 54 · Surgery only | $389.05 | $389.05 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $346.74 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $229.09 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $1,621.81 |
Where Massachusetts sits
The same service costs 4.6 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· 21st of 51
$1,202
AK $3,162TX $692
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.