How much rates vary
Facilitymedian $2,138 · 10th to 90th $324 to $4,365Professionalmedian $2,570 · 10th to 90th $1,122 to $11,482
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 $977.24 Median $977.24 Typical High $1,479.11 | Professional | None | $977.24 | $977.24 | $1,479.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $851.14 Typical High $3,715.35 | Facility | None | $295.12 | $851.14 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $5,495.41 Typical High $11,481.54 | Professional | None | $1,698.24 | $5,495.41 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,000.00 | Facility | None | $676.08 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,466.84 | Professional | None | $2,511.89 | $2,511.89 | $4,466.84 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $2,570.40 Typical High $5,888.44 | Facility | None | $83.18 | $2,570.40 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,187.76 | $2,570.40 |
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 $1,778.28 Median $3,630.78 Typical High $5,495.41 | Professional | None | $1,778.28 | $3,630.78 | $5,495.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $851.14 Typical High $3,715.35 | Facility | None | $295.12 | $851.14 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,698.24 Median $5,495.41 Typical High $11,481.54 | Professional | None | $1,698.24 | $5,495.41 | $11,481.54 |
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 $1,479.11 Median $2,398.83 Typical High $7,079.46 | Professional | None | $1,479.11 | $2,398.83 | $7,079.46 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,630.78 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $478.63 Median $478.63 Typical High $741.31 | Professional | 52 · Reduced service | $478.63 | $478.63 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $295.12 | Professional | 53 · Discontinued | $194.98 | $194.98 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,096.48 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $223.87 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $147.91 |
Where Massachusetts sits
The same service costs 5.2 times more in Alaska than in Maryland. 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· 12th of 51
$2,570
AK $7,244MD $1,380
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.