How much rates vary
Facilitymedian $1,622 · 10th to 90th $407 to $3,548Professionalmedian $2,291 · 10th to 90th $1,122 to $10,965
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 $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $1,380.38 Median $3,388.44 Typical High $10,964.78 | Professional | None | $1,380.38 | $3,388.44 | $10,964.78 |
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 $2,398.83 Median $2,398.83 Typical High $4,168.69 | Professional | None | $2,398.83 | $2,398.83 | $4,168.69 |
Fallon Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $3,311.31 | Facility | None | $1,621.81 | $1,949.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,698.24 | $1,949.84 | $2,290.87 |
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 $1,479.11 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,479.11 | $2,691.53 | $4,073.80 |
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 $1,380.38 Median $3,388.44 Typical High $10,964.78 | Professional | None | $1,380.38 | $3,388.44 | $10,964.78 |
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 $1,659.59 Median $2,290.87 Typical High $5,495.41 | Professional | None | $1,659.59 | $2,290.87 | $5,495.41 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,047.13 | $1,479.11 | $2,398.83 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Where Massachusetts sits
The same service costs 4.7 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· 16th of 51
$2,138
AK $6,166AR $1,318
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.