How much rates vary
Facilitymedian $1,698 · 10th to 90th $407 to $3,715Professionalmedian $2,399 · 10th to 90th $1,380 to $10,715
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 $1,047.13 Median $1,047.13 Typical High $4,570.88 | Professional | None | $1,047.13 | $1,047.13 | $4,570.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,981.07 | Facility | None | $346.74 | $1,047.13 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $3,801.89 Typical High $10,715.19 | Professional | None | $1,548.82 | $3,801.89 | $10,715.19 |
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 $2,344.23 Median $2,344.23 Typical High $4,168.69 | Professional | None | $2,344.23 | $2,344.23 | $4,168.69 |
Fallon Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,621.81 | $1,995.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,737.80 | $1,995.26 | $2,454.71 |
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 $1,778.28 Median $3,235.94 Typical High $5,011.87 | Professional | None | $1,778.28 | $3,235.94 | $5,011.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,981.07 | Facility | None | $346.74 | $1,047.13 | $3,981.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,548.82 Median $3,801.89 Typical High $10,715.19 | Professional | None | $1,548.82 | $3,801.89 | $10,715.19 |
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 $1,778.28 Median $2,454.71 Typical High $6,760.83 | Professional | None | $1,778.28 | $2,454.71 | $6,760.83 |
Well Sense Setting Facility Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,290.87 | Facility | None | $1,122.02 | $1,548.82 | $2,290.87 |
Well Sense Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,380.38 | Professional | None | $1,148.15 | $1,148.15 | $1,380.38 |
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 $512.86 Median $512.86 Typical High $2,290.87 | Professional | 52 · Reduced service | $512.86 | $512.86 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $912.01 | Professional | 53 · Discontinued | $208.93 | $208.93 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $3,467.37 | Professional | 54 · Surgery only | $776.25 | $776.25 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $691.83 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $457.09 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $3,235.94 |
Where Massachusetts sits
The same service costs 5.2 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· 17th of 51
$2,344
AK $6,166TX $1,175
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.