How much rates vary
Facilitymedian $2,512 · 10th to 90th $347 to $3,715Professionalmedian $3,802 · 10th to 90th $2,239 to $16,596
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 $1,778.28 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,778.28 | $1,778.28 | $2,818.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $4,073.80 | Facility | None | $316.23 | $1,047.13 | $4,073.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $5,888.44 Typical High $16,595.87 | Professional | None | $2,398.83 | $5,888.44 | $16,595.87 |
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 $3,801.89 Median $3,801.89 Typical High $6,760.83 | Professional | None | $3,801.89 | $3,801.89 | $6,760.83 |
Fallon Health Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $4,365.16 | Facility | None | $2,511.89 | $3,090.30 | $4,365.16 |
Fallon Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $3,715.35 | Professional | None | $2,630.27 | $3,090.30 | $3,715.35 |
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 $2,818.38 Median $5,128.61 Typical High $7,762.47 | Professional | None | $2,818.38 | $5,128.61 | $7,762.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $4,073.80 | Facility | None | $316.23 | $1,047.13 | $4,073.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,398.83 Median $5,888.44 Typical High $16,595.87 | Professional | None | $2,398.83 | $5,888.44 | $16,595.87 |
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 $3,019.95 Median $4,073.80 Typical High $10,964.78 | Professional | None | $3,019.95 | $4,073.80 | $10,964.78 |
Well Sense Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,715.35 | Facility | None | $1,819.70 | $2,511.89 | $3,715.35 |
Well Sense Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,995.26 | $1,995.26 | $2,398.83 |
5 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 $1,412.54 | Professional | 52 · Reduced service | $891.25 | $891.25 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $562.34 | Professional | 53 · Discontinued | $354.81 | $354.81 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $281.84 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $281.84 |
Where Massachusetts sits
The same service costs 5.8 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· 20th of 51
$3,548
AK $10,000AR $1,738
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.