How much rates vary
Facilitymedian $295 · 10th to 90th $83 to $2,754Professionalmedian $158 · 10th to 90th $91 to $631
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $114.82 | Professional | None | $72.44 | $72.44 | $114.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $67.61 Median $467.74 Typical High $1,862.09 | Facility | None | $67.61 | $467.74 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $630.96 | Professional | None | $107.15 | $223.87 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,000.00 | Facility | None | $676.08 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $245.47 | Professional | None | $151.36 | $151.36 | $245.47 |
Fallon Health Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $3,311.31 | Facility | None | $85.11 | $112.20 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $158.49 | Professional | None | $100.00 | $117.49 | $158.49 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $100.00 Median $194.98 Typical High $275.42 | Professional | None | $100.00 | $194.98 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $67.61 Median $467.74 Typical High $1,862.09 | Facility | None | $67.61 | $467.74 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $630.96 | Professional | None | $107.15 | $223.87 | $630.96 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,754.23 | Facility | None | $123.03 | $549.54 | $2,754.23 |
United Setting Professional Modifier None Typical Low $112.20 Median $147.91 Typical High $371.54 | Professional | None | $112.20 | $147.91 | $371.54 |
Well Sense Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $147.91 | Facility | None | $70.79 | $97.72 | $147.91 |
Well Sense Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | None | $74.13 | $74.13 | $100.00 |
5 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 $36.31 Median $36.31 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $36.31 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $22.91 | Professional | 53 · Discontinued | $14.79 | $14.79 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $54.95 Typical High $87.10 | Professional | 54 · Surgery only | $54.95 | $54.95 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $17.38 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $11.48 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 15th of 51
$158
AK $372FL $93.33
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.