How much rates vary
Facilitymedian $1,622 · 10th to 90th $575 to $5,495Professionalmedian $955 · 10th to 90th $513 to $6,761
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 $1,862.09 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,862.09 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,862.09 | Professional | None | $380.19 | $380.19 | $1,862.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $1,949.84 Typical High $5,623.41 | Facility | None | $575.44 | $1,949.84 | $5,623.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,380.38 Typical High $6,760.83 | Professional | None | $562.34 | $1,380.38 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,137.96 Typical High $3,090.30 | Facility | None | $676.08 | $2,137.96 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,819.70 | Professional | None | $891.25 | $891.25 | $1,819.70 |
Fallon Health Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $3,311.31 | Facility | None | $575.44 | $741.31 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $870.96 | Professional | None | $616.60 | $724.44 | $870.96 |
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 $645.65 Median $1,202.26 Typical High $2,511.89 | Professional | None | $645.65 | $1,202.26 | $2,511.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $1,949.84 Typical High $5,623.41 | Facility | None | $575.44 | $1,949.84 | $5,623.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $562.34 Median $1,380.38 Typical High $6,760.83 | Professional | None | $562.34 | $1,380.38 | $6,760.83 |
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 $724.44 Median $1,000.00 Typical High $2,511.89 | Professional | None | $724.44 | $1,000.00 | $2,511.89 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $812.83 Typical High $1,148.15 | Facility | None | $457.09 | $812.83 | $1,148.15 |
Well Sense Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $562.34 | Professional | None | $478.63 | $478.63 | $562.34 |
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 $190.55 Median $190.55 Typical High $933.25 | Professional | 52 · Reduced service | $190.55 | $190.55 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $371.54 | Professional | 53 · Discontinued | $75.86 | $75.86 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $1,380.38 | Professional | 54 · Surgery only | $288.40 | $288.40 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $275.42 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $186.21 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $1,288.25 |
Where Massachusetts sits
The same service costs 5.9 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· 26th of 51
$1,072
AK $3,236TX $550
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.