How much rates vary
Facilitymedian $1,738 · 10th to 90th $407 to $3,715Professionalmedian $2,455 · 10th to 90th $1,445 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 $1,071.52 Median $1,071.52 Typical High $4,677.35 | Professional | None | $1,071.52 | $1,071.52 | $4,677.35 |
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 $2,454.71 Median $2,454.71 Typical High $4,365.16 | Professional | None | $2,454.71 | $2,454.71 | $4,365.16 |
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 $1,698.24 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,698.24 | $1,995.26 | $2,398.83 |
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 $1,819.70 Median $2,570.40 Typical High $7,079.46 | Professional | None | $1,819.70 | $2,570.40 | $7,079.46 |
Well Sense Setting Facility Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,398.83 | Facility | None | $1,148.15 | $1,548.82 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,202.26 | $1,445.44 |
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 $537.03 Median $537.03 Typical High $2,344.23 | Professional | 52 · Reduced service | $537.03 | $537.03 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $933.25 | Professional | 53 · Discontinued | $213.80 | $213.80 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $3,548.13 | Professional | 54 · Surgery only | $794.33 | $794.33 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $707.95 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $467.74 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $3,311.31 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $338.84 Median $436.52 Typical High $588.84 | Professional | 82 · Assistant surgeon, no resident | $338.84 | $436.52 | $588.84 |
Where Massachusetts sits
The same service costs 8.2 times more in Alabama than in Washington. 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.
Physician feeFacility fee
AL $19,170WA $2,342
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.