How much rates vary
Facilitymedian $2,399 · 10th to 90th $407 to $4,266Professionalmedian $3,715 · 10th to 90th $2,042 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 $3,090.30 Typical High $5,495.41 | Facility | None | $2,691.53 | $3,090.30 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $5,495.41 | Professional | None | $1,584.89 | $1,584.89 | $5,495.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $5,754.40 | Facility | None | $346.74 | $1,047.13 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $22,908.68 | Professional | None | $2,137.96 | $5,888.44 | $22,908.68 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $5,370.32 | Professional | None | $2,454.71 | $3,981.07 | $5,370.32 |
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 $3,715.35 Median $3,715.35 Typical High $6,456.54 | Professional | None | $3,715.35 | $3,715.35 | $6,456.54 |
Fallon Health Setting Facility Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,715.35 | Facility | None | $2,454.71 | $3,019.95 | $3,715.35 |
Fallon Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,715.35 | Professional | None | $2,630.27 | $3,019.95 | $3,715.35 |
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 $2,691.53 Median $5,011.87 Typical High $7,585.78 | Professional | None | $2,691.53 | $5,011.87 | $7,585.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $5,754.40 | Facility | None | $346.74 | $1,047.13 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $22,908.68 | Professional | None | $2,137.96 | $5,888.44 | $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 $2,398.83 Median $3,467.37 Typical High $10,471.29 | Professional | None | $2,398.83 | $3,467.37 | $10,471.29 |
Well Sense Setting Facility Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,630.78 | Facility | None | $1,737.80 | $2,344.23 | $3,630.78 |
Well Sense Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | None | $1,412.54 | $1,412.54 | $1,698.24 |
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 $794.33 Median $794.33 Typical High $2,754.23 | Professional | 52 · Reduced service | $794.33 | $794.33 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $1,096.48 | Professional | 53 · Discontinued | $316.23 | $316.23 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $4,168.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $831.76 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $549.54 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $3,890.45 |
Where Massachusetts sits
The same service costs 6.3 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· 18th of 51
$3,311
AK $9,772TX $1,549
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.