How much rates vary
Facilitymedian $1,549 · 10th to 90th $407 to $3,631Professionalmedian $2,239 · 10th to 90th $1,288 to $10,000
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 $954.99 Median $954.99 Typical High $4,073.80 | Professional | None | $954.99 | $954.99 | $4,073.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,715.35 | Facility | None | $346.74 | $1,047.13 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $3,548.13 Typical High $10,000.00 | Professional | None | $1,445.44 | $3,548.13 | $10,000.00 |
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 $2,187.76 Median $2,187.76 Typical High $3,890.45 | Professional | None | $2,187.76 | $2,187.76 | $3,890.45 |
Fallon Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,513.56 | $1,905.46 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,621.81 | $1,862.09 | $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 $1,659.59 Median $3,019.95 Typical High $4,570.88 | Professional | None | $1,659.59 | $3,019.95 | $4,570.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,715.35 | Facility | None | $346.74 | $1,047.13 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,445.44 Median $3,548.13 Typical High $10,000.00 | Professional | None | $1,445.44 | $3,548.13 | $10,000.00 |
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 $1,621.81 Median $2,238.72 Typical High $6,165.95 | Professional | None | $1,621.81 | $2,238.72 | $6,165.95 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,137.96 | Facility | None | $1,023.29 | $1,380.38 | $2,137.96 |
Well Sense Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,071.52 | $1,258.93 |
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 $478.63 Median $478.63 Typical High $2,041.74 | Professional | 52 · Reduced service | $478.63 | $478.63 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $812.83 | Professional | 53 · Discontinued | $190.55 | $190.55 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $3,090.30 | Professional | 54 · Surgery only | $707.95 | $707.95 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $616.60 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $407.38 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $2,884.03 |
Where Massachusetts sits
The same service costs 5.6 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
$2,188
AK $5,754TX $1,023
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.