How much rates vary
Facilitymedian $1,585 · 10th to 90th $407 to $3,631Professionalmedian $2,291 · 10th to 90th $1,318 to $18,621
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 $954.99 Median $954.99 Typical High $4,265.80 | Professional | None | $954.99 | $954.99 | $4,265.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,801.89 | Facility | None | $346.74 | $1,047.13 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $3,630.78 Typical High $18,620.87 | Professional | None | $1,479.11 | $3,630.78 | $18,620.87 |
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 $2,238.72 Median $2,238.72 Typical High $3,981.07 | Professional | None | $2,238.72 | $2,238.72 | $3,981.07 |
Fallon Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,548.82 | $1,905.46 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,621.81 | $1,905.46 | $2,290.87 |
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 $1,698.24 Median $3,090.30 Typical High $4,677.35 | Professional | None | $1,698.24 | $3,090.30 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,801.89 | Facility | None | $346.74 | $1,047.13 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,479.11 Median $3,630.78 Typical High $18,620.87 | Professional | None | $1,479.11 | $3,630.78 | $18,620.87 |
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 $1,698.24 Median $2,398.83 Typical High $6,309.57 | Professional | None | $1,698.24 | $2,398.83 | $6,309.57 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,187.76 | Facility | None | $1,047.13 | $1,412.54 | $2,187.76 |
Well Sense Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,096.48 | $1,318.26 |
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 $478.63 Median $478.63 Typical High $2,089.30 | Professional | 52 · Reduced service | $478.63 | $478.63 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $851.14 | Professional | 53 · Discontinued | $190.55 | $190.55 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $3,162.28 | Professional | 54 · Surgery only | $724.44 | $724.44 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $630.96 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $426.58 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $2,951.21 |
Where Massachusetts sits
The same service costs 5.9 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· 19th of 51
$2,239
AK $5,888TX $1,000
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.