How much rates vary
Facilitymedian $324 · 10th to 90th $102 to $2,818Professionalmedian $174 · 10th to 90th $98 to $891
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $158.49 | Professional | None | $64.57 | $64.57 | $158.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $1,819.70 | Facility | None | $165.96 | $323.59 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $109.65 Median $257.04 Typical High $891.25 | Professional | None | $109.65 | $257.04 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $467.74 Typical High $954.99 | Facility | None | $331.13 | $467.74 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $275.42 | Professional | None | $154.88 | $169.82 | $275.42 |
Fallon Health Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $3,311.31 | Facility | None | $97.72 | $128.82 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $169.82 | Professional | None | $107.15 | $125.89 | $169.82 |
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 $107.15 Median $204.17 Typical High $295.12 | Professional | None | $107.15 | $204.17 | $295.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $1,819.70 | Facility | None | $165.96 | $323.59 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $109.65 Median $257.04 Typical High $891.25 | Professional | None | $109.65 | $257.04 | $891.25 |
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 $109.65 Median $151.36 Typical High $407.38 | Professional | None | $109.65 | $151.36 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $154.88 Typical High $331.13 | Facility | None | $85.11 | $154.88 | $331.13 |
Well Sense Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | None | $70.79 | $70.79 | $95.50 |
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 $32.36 Median $32.36 Typical High $79.43 | Professional | 52 · Reduced service | $32.36 | $32.36 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | 53 · Discontinued | $12.88 | $12.88 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $47.86 Typical High $117.49 | Professional | 54 · Surgery only | $47.86 | $47.86 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $23.44 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $15.85 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $15.85 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | Q3 · Living kidney donor | $50.12 | $50.12 | $67.61 |
Where Massachusetts sits
The same service costs 4.8 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· 11th of 51
$178
AK $427FL $89.13
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.