How much rates vary
Facilitymedian $1,259 · 10th to 90th $389 to $5,012Professionalmedian $617 · 10th to 90th $372 to $2,951
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | None | $371.54 | $371.54 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $2,041.74 Typical High $5,888.44 | Facility | None | $457.09 | $2,041.74 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $398.11 Median $870.96 Typical High $2,951.21 | Professional | None | $398.11 | $870.96 | $2,951.21 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $2,454.71 | Professional | None | $602.56 | $602.56 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $1,737.80 | Facility | None | $588.84 | $1,174.90 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $870.96 | Professional | None | $537.03 | $562.34 | $870.96 |
Fallon Health Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $3,311.31 | Facility | None | $346.74 | $446.68 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $602.56 | Professional | None | $380.19 | $446.68 | $602.56 |
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 $380.19 Median $707.95 Typical High $1,047.13 | Professional | None | $380.19 | $707.95 | $1,047.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $2,041.74 Typical High $5,888.44 | Facility | None | $457.09 | $2,041.74 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $398.11 Median $870.96 Typical High $2,951.21 | Professional | None | $398.11 | $870.96 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,244.36 | Facility | None | $1,047.13 | $2,344.23 | $7,244.36 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,445.44 | Professional | None | $380.19 | $549.54 | $1,445.44 |
Well Sense Setting Facility Modifier None Typical Low $288.40 Median $512.86 Typical High $1,122.02 | Facility | None | $288.40 | $512.86 | $1,122.02 |
Well Sense Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | None | $316.23 | $316.23 | $426.58 |
7 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 $181.97 Median $181.97 Typical High $269.15 | Professional | 52 · Reduced service | $181.97 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | 53 · Discontinued | $74.13 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $407.38 | Professional | 54 · Surgery only | $275.42 | $275.42 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $81.28 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $53.70 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $199.53 | $199.53 | $269.15 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | Q3 · Living kidney donor | $234.42 | $234.42 | $316.23 |
Where Massachusetts sits
The same service costs 4.8 times more in Alaska than in Utah. 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
$646
AK $1,413UT $295
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.