How much rates vary
Facilitymedian $1,202 · 10th to 90th $407 to $3,548Professionalmedian $1,738 · 10th to 90th $977 to $7,079
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 $2,630.27 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,630.27 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,412.54 | Professional | None | $977.24 | $977.24 | $1,412.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $831.76 Typical High $3,548.13 | Facility | None | $346.74 | $831.76 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,754.23 Typical High $7,079.46 | Professional | None | $1,047.13 | $2,754.23 | $7,079.46 |
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 $1,230.27 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,621.81 | $2,454.71 |
Fallon Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,096.48 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,445.44 | $1,949.84 |
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 $1,148.15 Median $2,238.72 Typical High $3,090.30 | Professional | None | $1,148.15 | $2,238.72 | $3,090.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $831.76 Typical High $3,548.13 | Facility | None | $346.74 | $831.76 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,754.23 Typical High $7,079.46 | Professional | None | $1,047.13 | $2,754.23 | $7,079.46 |
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 $1,023.29 Median $1,380.38 Typical High $3,981.07 | Professional | None | $1,023.29 | $1,380.38 | $3,981.07 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,548.82 | Facility | None | $758.58 | $1,023.29 | $1,548.82 |
Well Sense Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
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 $489.78 Median $489.78 Typical High $707.95 | Professional | 52 · Reduced service | $489.78 | $489.78 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $281.84 | Professional | 53 · Discontinued | $194.98 | $194.98 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $1,071.52 | Professional | 54 · Surgery only | $741.31 | $741.31 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $213.80 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $141.25 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $1,000.00 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $588.84 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $478.63 Median $478.63 Typical High $645.65 | Professional | Q3 · Living kidney donor | $478.63 | $478.63 | $645.65 |
Where Massachusetts sits
The same service costs 4.9 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
$1,660
AK $3,548TX $724
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.