How much rates vary
Facilitymedian $1,950 · 10th to 90th $447 to $6,918Professionalmedian $692 · 10th to 90th $417 to $3,467
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 $2,290.87 Median $3,090.30 Typical High $6,309.57 | Facility | None | $2,290.87 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $616.60 | Professional | None | $416.87 | $416.87 | $616.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $933.25 Median $2,818.38 Typical High $7,762.47 | Facility | None | $933.25 | $2,818.38 | $7,762.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $446.68 Median $1,000.00 Typical High $3,467.37 | Professional | None | $446.68 | $1,000.00 | $3,467.37 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $3,890.45 | Professional | None | $1,479.11 | $1,479.11 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,025.60 Typical High $8,709.64 | Facility | None | $588.84 | $6,025.60 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $977.24 | Professional | None | $562.34 | $645.65 | $977.24 |
Fallon Health Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $3,311.31 | Facility | None | $398.11 | $512.86 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $691.83 | Professional | None | $436.52 | $512.86 | $691.83 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $436.52 Median $812.83 Typical High $1,202.26 | Professional | None | $436.52 | $812.83 | $1,202.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $933.25 Median $2,818.38 Typical High $7,762.47 | Facility | None | $933.25 | $2,818.38 | $7,762.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $446.68 Median $1,000.00 Typical High $3,467.37 | Professional | None | $446.68 | $1,000.00 | $3,467.37 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $12,302.69 | Facility | None | $851.14 | $2,818.38 | $12,302.69 |
United Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $1,659.59 | Professional | None | $436.52 | $575.44 | $1,659.59 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $1,659.59 | Facility | None | $331.13 | $524.81 | $1,659.59 |
Well Sense Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $436.52 | Professional | None | $323.59 | $323.59 | $436.52 |
6 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 $208.93 Median $208.93 Typical High $281.84 | Professional | 52 · Reduced service | $208.93 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | 53 · Discontinued | $83.18 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $416.87 | Professional | 54 · Surgery only | $316.23 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $56.23 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | Q3 · Living kidney donor | $208.93 | $208.93 | $281.84 |
Where Massachusetts sits
The same service costs 4.5 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
$724
AK $1,622TX $363
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.