How much rates vary
Facilitymedian $1,950 · 10th to 90th $933 to $6,166Professionalmedian $2,089 · 10th to 90th $1,230 to $12,303
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 $2,691.53 Median $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,230.27 | $1,230.27 | $1,737.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $794.33 Median $3,388.44 Typical High $7,585.78 | Facility | None | $794.33 | $3,388.44 | $7,585.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $12,302.69 | Professional | None | $1,288.25 | $3,388.44 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $954.99 Typical High $1,380.38 | Facility | None | $50.12 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,584.89 | $2,041.74 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,659.59 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,479.11 | $1,737.80 | $2,290.87 |
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 $1,445.44 Median $2,754.23 Typical High $3,801.89 | Professional | None | $1,445.44 | $2,754.23 | $3,801.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $794.33 Median $3,388.44 Typical High $7,585.78 | Facility | None | $794.33 | $3,388.44 | $7,585.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $12,302.69 | Professional | None | $1,288.25 | $3,388.44 | $12,302.69 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,232.93 | Facility | None | $1,071.52 | $3,467.37 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $5,011.87 | Professional | None | $1,318.26 | $1,737.80 | $5,011.87 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,949.84 | Facility | None | $933.25 | $1,258.93 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
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 $616.60 Median $616.60 Typical High $870.96 | Professional | 52 · Reduced service | $616.60 | $616.60 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | 53 · Discontinued | $245.47 | $245.47 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,318.26 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,230.27 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $758.58 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | Q3 · Living kidney donor | $630.96 | $630.96 | $851.14 |
Where Massachusetts sits
The same service costs 26.3 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· 14th of 51
$2,042
AK $5,248TX $200
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.