How much rates vary
Facilitymedian $3,020 · 10th to 90th $347 to $5,012Professionalmedian $5,129 · 10th to 90th $3,020 to $22,909
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 $2,398.83 Median $2,398.83 Typical High $3,548.13 | Professional | None | $2,398.83 | $2,398.83 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $5,888.44 | Facility | None | $316.23 | $1,047.13 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3,311.31 Median $7,943.28 Typical High $22,908.68 | Professional | None | $3,311.31 | $7,943.28 | $22,908.68 |
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 $5,128.61 Median $5,128.61 Typical High $8,912.51 | Professional | None | $5,128.61 | $5,128.61 | $8,912.51 |
Fallon Health Setting Facility Modifier None Typical Low $3,311.31 Median $4,265.80 Typical High $5,128.61 | Facility | None | $3,311.31 | $4,265.80 | $5,128.61 |
Fallon Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $5,128.61 | Professional | None | $3,630.78 | $4,265.80 | $5,128.61 |
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 $3,801.89 Median $6,918.31 Typical High $10,471.29 | Professional | None | $3,801.89 | $6,918.31 | $10,471.29 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $5,888.44 | Facility | None | $316.23 | $1,047.13 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $3,311.31 Median $7,943.28 Typical High $22,908.68 | Professional | None | $3,311.31 | $7,943.28 | $22,908.68 |
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 $4,073.80 Median $5,495.41 Typical High $14,791.08 | Professional | None | $4,073.80 | $5,495.41 | $14,791.08 |
Well Sense Setting Facility Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $5,011.87 | Facility | None | $2,398.83 | $3,235.94 | $5,011.87 |
Well Sense Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,162.28 | Professional | None | $2,630.27 | $2,630.27 | $3,162.28 |
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 $1,174.90 Median $1,174.90 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $741.31 | Professional | 53 · Discontinued | $478.63 | $478.63 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $562.34 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $371.54 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | 78 · Unplanned return to OR | $7,244.36 | $7,244.36 | $7,244.36 |
Where Massachusetts sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 20th of 51
$4,677
AK $13,490AR $1,820
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.