How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $6,918Professionalmedian $1,862 · 10th to 90th $1,072 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 $3,090.30 Typical High $6,309.57 | Facility | None | $2,570.40 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,071.52 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,235.94 Typical High $9,549.93 | Facility | None | $724.44 | $3,235.94 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $12,022.64 | Professional | None | $1,174.90 | $2,754.23 | $12,022.64 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $977.24 Median $1,862.09 Typical High $3,311.31 | Professional | None | $977.24 | $1,862.09 | $3,311.31 |
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 $1,380.38 Median $1,380.38 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,380.38 | $2,570.40 |
Fallon Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,047.13 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,412.54 | $1,905.46 |
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 $1,174.90 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,174.90 | $2,187.76 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,235.94 Typical High $9,549.93 | Facility | None | $724.44 | $3,235.94 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $12,022.64 | Professional | None | $1,174.90 | $2,754.23 | $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 $1,148.15 Median $1,548.82 Typical High $4,466.84 | Professional | None | $1,148.15 | $1,548.82 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,905.46 | Facility | None | $891.25 | $1,202.26 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | None | $776.25 | $776.25 | $1,047.13 |
8 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 $537.03 Median $537.03 Typical High $758.58 | Professional | 52 · Reduced service | $537.03 | $537.03 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | 53 · Discontinued | $213.80 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $1,148.15 | Professional | 54 · Surgery only | $812.83 | $812.83 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $229.09 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $1,071.52 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $676.08 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | Q3 · Living kidney donor | $549.54 | $549.54 | $741.31 |
Where Massachusetts sits
The same service costs 6.2 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
$1,905
AK $4,365TX $708
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.