How much rates vary
Facilitymedian $977 · 10th to 90th $479 to $3,631Professionalmedian $1,318 · 10th to 90th $741 to $5,370
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 $3,388.44 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,148.15 | Professional | None | $741.31 | $741.31 | $1,148.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $831.76 Median $2,041.74 Typical High $5,370.32 | Professional | None | $831.76 | $2,041.74 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $954.99 Typical High $954.99 | Facility | None | $50.12 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,230.27 | $1,862.09 |
Fallon Health Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $3,311.31 | Facility | None | $776.25 | $1,023.29 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,412.54 | Professional | None | $891.25 | $1,047.13 | $1,412.54 |
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 $891.25 Median $1,659.59 Typical High $2,290.87 | Professional | None | $891.25 | $1,659.59 | $2,290.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $831.76 Median $2,041.74 Typical High $5,370.32 | Professional | None | $831.76 | $2,041.74 | $5,370.32 |
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 $812.83 Median $1,096.48 Typical High $3,235.94 | Professional | None | $812.83 | $1,096.48 | $3,235.94 |
Well Sense Setting Facility Modifier None Typical Low $575.44 Median $794.33 Typical High $1,174.90 | Facility | None | $575.44 | $794.33 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | None | $537.03 | $537.03 | $724.44 |
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 $371.54 Median $371.54 Typical High $524.81 | Professional | 52 · Reduced service | $371.54 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | 53 · Discontinued | $147.91 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $794.33 | Professional | 54 · Surgery only | $562.34 | $562.34 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $741.31 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $467.74 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | Q3 · Living kidney donor | $389.05 | $389.05 | $524.81 |
Where Massachusetts sits
The same service costs 5.9 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· 14th of 51
$1,259
AK $3,162TX $537
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.