How much rates vary
Facilitymedian $1,202 · 10th to 90th $407 to $3,548Professionalmedian $1,738 · 10th to 90th $933 to $10,233
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 $741.31 Median $741.31 Typical High $3,548.13 | Professional | None | $741.31 | $741.31 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $812.83 Typical High $3,548.13 | Facility | None | $346.74 | $812.83 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $10,232.93 | Professional | None | $1,047.13 | $2,570.40 | $10,232.93 |
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 $1,659.59 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,659.59 | $1,659.59 | $2,951.21 |
Fallon Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,096.48 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,348.96 | $1,621.81 |
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 $1,230.27 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,230.27 | $2,238.72 | $3,388.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $812.83 Typical High $3,548.13 | Facility | None | $346.74 | $812.83 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $10,232.93 | Professional | None | $1,047.13 | $2,570.40 | $10,232.93 |
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 $1,380.38 Median $1,949.84 Typical High $4,786.30 | Professional | None | $1,380.38 | $1,949.84 | $4,786.30 |
Well Sense Setting Facility Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,621.81 | Facility | None | $794.33 | $1,096.48 | $1,621.81 |
Well Sense Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | None | $933.25 | $933.25 | $1,122.02 |
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 $363.08 Median $363.08 Typical High $1,778.28 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $707.95 | Professional | 53 · Discontinued | $147.91 | $147.91 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $2,630.27 | Professional | 54 · Surgery only | $549.54 | $549.54 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $537.03 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $354.81 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $2,454.71 |
Where Massachusetts sits
The same service costs 4.8 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· 29th of 51
$1,585
AK $4,467TX $933
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.