How much rates vary
Facilitymedian $603 · 10th to 90th $295 to $3,467Professionalmedian $692 · 10th to 90th $389 to $7,244
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $776.25 Typical High $3,548.13 | Facility | None | $295.12 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $354.81 Median $891.25 Typical High $7,244.36 | Professional | None | $354.81 | $891.25 | $7,244.36 |
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 $645.65 Median $676.08 Typical High $1,174.90 | Professional | None | $645.65 | $676.08 | $1,174.90 |
Fallon Health Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $3,311.31 | Facility | None | $426.58 | $524.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $616.60 | Professional | None | $446.68 | $524.81 | $616.60 |
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 $389.05 Median $707.95 Typical High $1,071.52 | Professional | None | $389.05 | $707.95 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $776.25 Typical High $3,548.13 | Facility | None | $295.12 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $354.81 Median $891.25 Typical High $7,244.36 | Professional | None | $354.81 | $891.25 | $7,244.36 |
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 $389.05 Median $549.54 Typical High $1,445.44 | Professional | None | $389.05 | $549.54 | $1,445.44 |
Well Sense Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $549.54 | Facility | None | $302.00 | $389.05 | $549.54 |
Well Sense Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,754.23 | Professional | None | $2,290.87 | $2,290.87 | $2,754.23 |
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 54 · Surgery only Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $323.59 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 62 · Two surgeons | $1,096.48 | $1,096.48 | $1,096.48 |
Where Massachusetts sits
The same service costs 7.1 times more in Wisconsin than in New York. 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· 27th of 51
$676
WI $1,738NY $245
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.