How much rates vary
Facilitymedian $1,096 · 10th to 90th $407 to $3,548Professionalmedian $1,413 · 10th to 90th $794 to $6,310
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 $588.84 Median $588.84 Typical High $2,691.53 | Professional | None | $588.84 | $588.84 | $2,691.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $912.01 Median $2,290.87 Typical High $6,309.57 | Professional | None | $912.01 | $2,290.87 | $6,309.57 |
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 $1,348.96 Median $1,380.38 Typical High $2,398.83 | Professional | None | $1,348.96 | $1,380.38 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,202.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,174.90 | $1,445.44 |
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 $1,047.13 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,905.46 | $2,884.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $912.01 Median $2,290.87 Typical High $6,309.57 | Professional | None | $912.01 | $2,290.87 | $6,309.57 |
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 $1,047.13 Median $1,445.44 Typical High $3,890.45 | Professional | None | $1,047.13 | $1,445.44 | $3,890.45 |
Well Sense Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $1,318.26 | Facility | None | $645.65 | $891.25 | $1,318.26 |
Well Sense Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | None | $691.83 | $691.83 | $831.76 |
6 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 $295.12 Median $295.12 Typical High $1,348.96 | Professional | 52 · Reduced service | $295.12 | $295.12 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $537.03 | Professional | 53 · Discontinued | $117.49 | $117.49 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $2,041.74 | Professional | 54 · Surgery only | $436.52 | $436.52 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $407.38 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $269.15 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $1,905.46 |
Where Massachusetts sits
The same service costs 4.7 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· 19th of 51
$1,380
AK $3,548TX $759
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.