How much rates vary
Facilitymedian $1,349 · 10th to 90th $661 to $5,495Professionalmedian $1,288 · 10th to 90th $724 to $4,677
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 $1,905.46 Median $2,818.38 Typical High $5,248.07 | Facility | None | $1,905.46 | $2,818.38 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,047.13 | Professional | None | $724.44 | $870.96 | $1,047.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $630.96 Median $2,089.30 Typical High $9,120.11 | Facility | None | $630.96 | $2,089.30 | $9,120.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $758.58 Median $1,621.81 Typical High $6,309.57 | Professional | None | $758.58 | $1,621.81 | $6,309.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $660.69 Median $794.33 Typical High $1,513.56 | Facility | None | $660.69 | $794.33 | $1,513.56 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $3,311.31 | Professional | None | $851.14 | $851.14 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,890.45 Typical High $5,754.40 | Facility | None | $831.76 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $2,137.96 | Professional | None | $851.14 | $1,122.02 | $2,137.96 |
Fallon Health Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $3,311.31 | Facility | None | $660.69 | $851.14 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,288.25 | $1,737.80 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $741.31 Median $1,479.11 Typical High $2,454.71 | Professional | None | $741.31 | $1,479.11 | $2,454.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $2,089.30 Typical High $9,120.11 | Facility | None | $630.96 | $2,089.30 | $9,120.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $758.58 Median $1,621.81 Typical High $6,309.57 | Professional | None | $758.58 | $1,621.81 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $11,481.54 | Facility | None | $1,047.13 | $2,344.23 | $11,481.54 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $3,090.30 | Professional | None | $741.31 | $1,148.15 | $3,090.30 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $1,905.46 | Facility | None | $602.56 | $870.96 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $724.44 | Professional | None | $489.78 | $602.56 | $724.44 |
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 $363.08 Median $436.52 Typical High $524.81 | Professional | 52 · Reduced service | $363.08 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $144.54 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $537.03 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $131.83 Typical High $158.49 | Professional | 55 · Aftercare only | $107.15 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $87.10 Typical High $104.71 | Professional | 56 · Pre-op care only | $72.44 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $501.19 | $616.60 | $724.44 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $380.19 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $309.03 | $380.19 | $478.63 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $346.74 Median $346.74 Typical High $467.74 | Professional | Q3 · Living kidney donor | $346.74 | $346.74 | $467.74 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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
$1,288
AK $2,754NJ $631
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.