How much rates vary
Facilitymedian $1,288 · 10th to 90th $407 to $3,548Professionalmedian $1,778 · 10th to 90th $1,122 to $12,023
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 $741.31 Median $741.31 Typical High $3,311.31 | Professional | None | $741.31 | $741.31 | $3,311.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $3,548.13 | Facility | None | $346.74 | $891.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $12,022.64 | Professional | None | $1,148.15 | $2,818.38 | $12,022.64 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,905.46 | $2,570.40 |
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 $1,737.80 Median $1,737.80 Typical High $3,090.30 | Professional | None | $1,737.80 | $1,737.80 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $3,311.31 | Facility | None | $1,202.26 | $1,479.11 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,258.93 | $1,479.11 | $1,778.28 |
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 $1,318.26 Median $2,398.83 Typical High $3,630.78 | Professional | None | $1,318.26 | $2,398.83 | $3,630.78 |
Health New England Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $3,548.13 | Facility | None | $346.74 | $891.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $12,022.64 | Professional | None | $1,148.15 | $2,818.38 | $12,022.64 |
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 $1,348.96 Median $1,905.46 Typical High $5,011.87 | Professional | None | $1,348.96 | $1,905.46 | $5,011.87 |
Well Sense Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,698.24 | Facility | None | $831.76 | $1,148.15 | $1,698.24 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None | $851.14 | $851.14 | $1,023.29 |
7 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 $371.54 Median $371.54 Typical High $1,659.59 | Professional | 52 · Reduced service | $371.54 | $371.54 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $660.69 | Professional | 53 · Discontinued | $147.91 | $147.91 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $2,511.89 | Professional | 54 · Surgery only | $562.34 | $562.34 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $501.19 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $2,344.23 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,288.25 Typical High $1,698.24 | Professional | 62 · Two surgeons | $977.24 | $1,288.25 | $1,698.24 |
Where Massachusetts sits
The same service costs 5.6 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· 20th of 51
$1,738
AK $4,571TX $813
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.