How much rates vary
Facilitymedian $2,570 · 10th to 90th $871 to $7,413Professionalmedian $1,549 · 10th to 90th $851 to $6,607
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 $645.65 Median $645.65 Typical High $3,090.30 | Professional | None | $645.65 | $645.65 | $3,090.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $3,235.94 Typical High $9,120.11 | Facility | None | $1,071.52 | $3,235.94 | $9,120.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $933.25 Median $2,290.87 Typical High $6,606.93 | Professional | None | $933.25 | $2,290.87 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $4,073.80 Typical High $6,025.60 | Facility | None | $446.68 | $4,073.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,479.11 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $3,311.31 | Facility | None | $912.01 | $1,202.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,202.26 | $1,445.44 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $4,265.80 | Professional | None | $1,096.48 | $2,041.74 | $4,265.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,071.52 Median $3,235.94 Typical High $9,120.11 | Facility | None | $1,071.52 | $3,235.94 | $9,120.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $933.25 Median $2,290.87 Typical High $6,606.93 | Professional | None | $933.25 | $2,290.87 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $14,791.08 | Facility | None | $1,071.52 | $3,890.45 | $14,791.08 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $4,265.80 | Professional | None | $1,174.90 | $1,621.81 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $1,445.44 | Facility | None | $691.83 | $977.24 | $1,445.44 |
Well Sense Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
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 $323.59 Median $323.59 Typical High $1,513.56 | Professional | 52 · Reduced service | $323.59 | $323.59 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $616.60 | Professional | 53 · Discontinued | $128.82 | $128.82 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $2,290.87 | Professional | 54 · Surgery only | $489.78 | $489.78 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $457.09 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $309.03 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $2,137.96 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,047.13 Typical High $1,380.38 | Professional | 62 · Two surgeons | $794.33 | $1,047.13 | $1,380.38 |
Where Massachusetts sits
The same service costs 5.0 times more in Wisconsin 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· 27th of 51
$1,622
WI $4,365TX $871
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.