How much rates vary
Facilitymedian $1,549 · 10th to 90th $407 to $3,548Professionalmedian $2,399 · 10th to 90th $1,349 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 $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,348.96 | $1,905.46 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,630.78 | Facility | None | $346.74 | $1,047.13 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $3,715.35 Typical High $12,302.69 | Professional | None | $1,412.54 | $3,715.35 | $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 $1,778.28 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,778.28 | $2,238.72 | $3,388.44 |
Fallon Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,311.31 | Facility | None | $1,445.44 | $1,819.70 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,621.81 | $1,905.46 | $2,511.89 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $4,168.69 | Professional | None | $1,584.89 | $3,019.95 | $4,168.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,630.78 | Facility | None | $346.74 | $1,047.13 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,412.54 Median $3,715.35 Typical High $12,302.69 | Professional | None | $1,412.54 | $3,715.35 | $12,302.69 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $5,888.44 | Professional | None | $1,445.44 | $1,905.46 | $5,888.44 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,137.96 | Facility | None | $1,047.13 | $1,445.44 | $2,137.96 |
Well Sense Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
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 $676.08 Median $676.08 Typical High $954.99 | Professional | 52 · Reduced service | $676.08 | $676.08 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | 53 · Discontinued | $269.15 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,348.96 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $851.14 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | Q3 · Living kidney donor | $645.65 | $645.65 | $870.96 |
Where Massachusetts sits
The same service costs 5.2 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· 13th of 51
$2,239
AK $4,898TX $933
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.