How much rates vary
Facilitymedian $2,692 · 10th to 90th $407 to $4,365Professionalmedian $4,074 · 10th to 90th $2,239 to $25,704
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 $5,623.41 | Facility | None | $2,691.53 | $3,090.30 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $7,943.28 | Professional | None | $1,778.28 | $1,778.28 | $7,943.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $6,456.54 | Facility | None | $346.74 | $1,047.13 | $6,456.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,511.89 Median $6,606.93 Typical High $25,703.96 | Professional | None | $2,511.89 | $6,606.93 | $25,703.96 |
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 $4,073.80 Median $4,073.80 Typical High $7,244.36 | Professional | None | $4,073.80 | $4,073.80 | $7,244.36 |
Fallon Health Setting Facility Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,168.69 | Facility | None | $2,754.23 | $3,388.44 | $4,168.69 |
Fallon Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,168.69 | Professional | None | $2,951.21 | $3,388.44 | $4,168.69 |
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 $3,090.30 Median $5,623.41 Typical High $8,511.38 | Professional | None | $3,090.30 | $5,623.41 | $8,511.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $6,456.54 | Facility | None | $346.74 | $1,047.13 | $6,456.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,511.89 Median $6,606.93 Typical High $25,703.96 | Professional | None | $2,511.89 | $6,606.93 | $25,703.96 |
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 $2,884.03 Median $4,265.80 Typical High $11,748.98 | Professional | None | $2,884.03 | $4,265.80 | $11,748.98 |
Well Sense Setting Facility Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $3,981.07 | Facility | None | $1,905.46 | $2,570.40 | $3,981.07 |
Well Sense Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,041.74 | $2,454.71 |
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 $891.25 Median $891.25 Typical High $3,981.07 | Professional | 52 · Reduced service | $891.25 | $891.25 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $1,584.89 | Professional | 53 · Discontinued | $354.81 | $354.81 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $5,888.44 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $5,888.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $1,174.90 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $1,174.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $794.33 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $5,495.41 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $5,495.41 |
Where Massachusetts sits
The same service costs 6.9 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· 22nd of 51
$3,715
AK $10,715TX $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.