How much rates vary
Facilitymedian $1,698 · 10th to 90th $575 to $5,495Professionalmedian $776 · 10th to 90th $447 to $7,762
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 $1,348.96 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,348.96 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $1,348.96 | Professional | None | $338.84 | $338.84 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $630.96 Median $1,995.26 Typical High $5,623.41 | Facility | None | $630.96 | $1,995.26 | $5,623.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $501.19 Median $1,258.93 Typical High $7,762.47 | Professional | None | $501.19 | $1,258.93 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,090.30 Typical High $4,466.84 | Facility | None | $831.76 | $3,090.30 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,513.56 | Professional | None | $758.58 | $758.58 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $3,311.31 | Facility | None | $524.81 | $691.83 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $794.33 | Professional | None | $562.34 | $660.69 | $794.33 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $575.44 Median $1,071.52 Typical High $2,089.30 | Professional | None | $575.44 | $1,071.52 | $2,089.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $1,995.26 Typical High $5,623.41 | Facility | None | $630.96 | $1,995.26 | $5,623.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $501.19 Median $1,258.93 Typical High $7,762.47 | Professional | None | $501.19 | $1,258.93 | $7,762.47 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $2,089.30 | Professional | None | $549.54 | $758.58 | $2,089.30 |
Well Sense Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $1,698.24 | Facility | None | $389.05 | $616.60 | $1,698.24 |
Well Sense Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | None | $354.81 | $354.81 | $426.58 |
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 $169.82 Median $169.82 Typical High $676.08 | Professional | 52 · Reduced service | $169.82 | $169.82 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $269.15 | Professional | 53 · Discontinued | $67.61 | $67.61 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $1,023.29 | Professional | 54 · Surgery only | $251.19 | $251.19 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $204.17 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $134.90 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $954.99 |
Where Massachusetts sits
The same service costs 5.4 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
$933
AK $2,630TX $490
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.