How much rates vary
Facilitymedian $1,698 · 10th to 90th $407 to $3,715Professionalmedian $2,455 · 10th to 90th $1,413 to $21,878
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 $1,023.29 Median $1,023.29 Typical High $4,570.88 | Professional | None | $1,023.29 | $1,023.29 | $4,570.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,981.07 | Facility | None | $346.74 | $1,047.13 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $3,890.45 Typical High $21,877.62 | Professional | None | $1,584.89 | $3,890.45 | $21,877.62 |
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 $2,398.83 Median $2,398.83 Typical High $4,265.80 | Professional | None | $2,398.83 | $2,398.83 | $4,265.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,621.81 | $1,995.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,737.80 | $1,995.26 | $2,454.71 |
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 $1,819.70 Median $3,311.31 Typical High $5,011.87 | Professional | None | $1,819.70 | $3,311.31 | $5,011.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,981.07 | Facility | None | $346.74 | $1,047.13 | $3,981.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,584.89 Median $3,890.45 Typical High $21,877.62 | Professional | None | $1,584.89 | $3,890.45 | $21,877.62 |
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 $1,862.09 Median $2,511.89 Typical High $6,760.83 | Professional | None | $1,862.09 | $2,511.89 | $6,760.83 |
Well Sense Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,344.23 | Facility | None | $1,122.02 | $1,513.56 | $2,344.23 |
Well Sense Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,174.90 | $1,412.54 |
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 $512.86 Median $512.86 Typical High $2,290.87 | Professional | 52 · Reduced service | $512.86 | $512.86 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $912.01 | Professional | 53 · Discontinued | $204.17 | $204.17 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $3,467.37 | Professional | 54 · Surgery only | $776.25 | $776.25 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $691.83 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $457.09 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $3,235.94 |
Where Massachusetts sits
The same service costs 5.5 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
$2,344
AK $6,310TX $1,148
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.