How much rates vary
Facilitymedian $1,820 · 10th to 90th $631 to $5,888Professionalmedian $1,072 · 10th to 90th $631 to $6,166
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 $1,819.70 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,819.70 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | None | $630.96 | $630.96 | $851.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $5,888.44 | Facility | None | $645.65 | $1,995.26 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,548.82 Typical High $6,165.95 | Professional | None | $616.60 | $1,548.82 | $6,165.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,659.59 | Professional | None | $851.14 | $851.14 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $2,884.03 | Facility | None | $831.76 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,513.56 | Professional | None | $776.25 | $776.25 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $3,311.31 | Facility | None | $602.56 | $776.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,071.52 | Professional | None | $676.08 | $794.33 | $1,071.52 |
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 $645.65 Median $1,230.27 Typical High $1,778.28 | Professional | None | $645.65 | $1,230.27 | $1,778.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $5,888.44 | Facility | None | $645.65 | $1,995.26 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $616.60 Median $1,548.82 Typical High $6,165.95 | Professional | None | $616.60 | $1,548.82 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,964.78 | Facility | None | $1,071.52 | $3,467.37 | $10,964.78 |
United Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $2,570.40 | Professional | None | $660.69 | $912.01 | $2,570.40 |
Well Sense Setting Facility Modifier None Typical Low $512.86 Median $891.25 Typical High $1,071.52 | Facility | None | $512.86 | $891.25 | $1,071.52 |
Well Sense Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
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 $316.23 Median $316.23 Typical High $426.58 | Professional | 52 · Reduced service | $316.23 | $316.23 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | 53 · Discontinued | $125.89 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $645.65 | Professional | 54 · Surgery only | $478.63 | $478.63 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $128.82 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $602.56 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $398.11 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | Q3 · Living kidney donor | $331.13 | $331.13 | $446.68 |
Where Massachusetts sits
The same service costs 6.5 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
$1,072
AK $2,455TX $380
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.