How much rates vary
Facilitymedian $1,349 · 10th to 90th $407 to $3,548Professionalmedian $1,950 · 10th to 90th $1,096 to $15,136
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 $812.83 Median $812.83 Typical High $3,801.89 | Professional | None | $812.83 | $812.83 | $3,801.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $3,548.13 | Facility | None | $346.74 | $912.01 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $15,135.61 | Professional | None | $1,174.90 | $2,884.03 | $15,135.61 |
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 $1,862.09 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,862.09 | $1,862.09 | $3,311.31 |
Fallon Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,513.56 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,513.56 | $1,819.70 |
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 $1,380.38 Median $2,511.89 Typical High $3,801.89 | Professional | None | $1,380.38 | $2,511.89 | $3,801.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $3,548.13 | Facility | None | $346.74 | $912.01 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $15,135.61 | Professional | None | $1,174.90 | $2,884.03 | $15,135.61 |
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 $1,479.11 Median $2,089.30 Typical High $5,370.32 | Professional | None | $1,479.11 | $2,089.30 | $5,370.32 |
Well Sense Setting Facility Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,819.70 | Facility | None | $870.96 | $1,230.27 | $1,819.70 |
Well Sense Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
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 $407.38 Median $407.38 Typical High $1,905.46 | Professional | 52 · Reduced service | $407.38 | $407.38 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $758.58 | Professional | 53 · Discontinued | $162.18 | $162.18 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $2,884.03 | Professional | 54 · Surgery only | $616.60 | $616.60 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $575.44 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $380.19 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $2,691.53 |
Where Massachusetts sits
The same service costs 5.5 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· 24th of 51
$1,778
AK $4,898TX $891
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.