How much rates vary
Facilitymedian $2,884 · 10th to 90th $407 to $5,129Professionalmedian $5,248 · 10th to 90th $3,090 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 $2,290.87 Median $2,290.87 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,290.87 | $3,801.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $7,762.47 | Facility | None | $346.74 | $1,047.13 | $7,762.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3,311.31 Median $8,128.31 Typical High $22,908.68 | Professional | None | $3,311.31 | $8,128.31 | $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 $5,248.07 Median $5,248.07 Typical High $9,332.54 | Professional | None | $5,248.07 | $5,248.07 | $9,332.54 |
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 $3,715.35 Median $4,265.80 Typical High $5,248.07 | Professional | None | $3,715.35 | $4,265.80 | $5,248.07 |
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 $3,890.45 Median $7,079.46 Typical High $10,715.19 | Professional | None | $3,890.45 | $7,079.46 | $10,715.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $7,762.47 | Facility | None | $346.74 | $1,047.13 | $7,762.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $3,311.31 Median $8,128.31 Typical High $22,908.68 | Professional | None | $3,311.31 | $8,128.31 | $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 $4,168.69 Median $5,623.41 Typical High $15,135.61 | Professional | None | $4,168.69 | $5,623.41 | $15,135.61 |
Well Sense Setting Facility Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $5,128.61 | Facility | None | $2,454.71 | $3,311.31 | $5,128.61 |
Well Sense Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,090.30 | Professional | None | $2,570.40 | $2,570.40 | $3,090.30 |
4 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 $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | 53 · Discontinued | $457.09 | $457.09 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $2,630.27 |
Where Massachusetts sits
The same service costs 7.6 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· 24th of 51
$4,677
AK $13,804AR $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.