How much rates vary
Facilitymedian $1,905 · 10th to 90th $977 to $6,166Professionalmedian $2,291 · 10th to 90th $1,259 to $12,023
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 $2,570.40 Median $3,162.28 Typical High $6,309.57 | Facility | None | $2,570.40 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $3,162.28 | Professional | None | $1,047.13 | $1,318.26 | $3,162.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,388.44 Typical High $9,549.93 | Facility | None | $724.44 | $3,388.44 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $12,022.64 | Professional | None | $1,258.93 | $2,884.03 | $12,022.64 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $2,754.23 | Facility | None | $1,202.26 | $1,445.44 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,890.45 Typical High $5,754.40 | Facility | None | $954.99 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $4,168.69 | Professional | None | $1,513.56 | $1,949.84 | $4,168.69 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,148.15 | $1,513.56 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,344.23 | $2,884.03 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,288.25 Median $2,630.27 Typical High $5,128.61 | Professional | None | $1,288.25 | $2,630.27 | $5,128.61 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,388.44 Typical High $9,549.93 | Facility | None | $724.44 | $3,388.44 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $12,022.64 | Professional | None | $1,258.93 | $2,884.03 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $6,606.93 | Professional | None | $1,445.44 | $2,089.30 | $6,606.93 |
Well Sense Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,290.87 | Facility | None | $1,071.52 | $1,513.56 | $2,290.87 |
Well Sense Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,174.90 | Professional | None | $812.83 | $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 $524.81 Median $660.69 Typical High $1,584.89 | Professional | 52 · Reduced service | $524.81 | $660.69 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $263.03 Typical High $630.96 | Professional | 53 · Discontinued | $208.93 | $263.03 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $977.24 Typical High $2,344.23 | Professional | 54 · Surgery only | $776.25 | $977.24 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $194.98 Typical High $467.74 | Professional | 55 · Aftercare only | $154.88 | $194.98 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $131.83 Typical High $316.23 | Professional | 56 · Pre-op care only | $104.71 | $131.83 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $912.01 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $724.44 | $912.01 | $2,187.76 |
Where Massachusetts sits
The same service costs 5.2 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· 12th of 51
$2,239
AK $6,026TX $1,148
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.