How much rates vary
Facilitymedian $1,202 · 10th to 90th $407 to $3,548Professionalmedian $1,820 · 10th to 90th $1,023 to $7,244
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 $2,818.38 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,023.29 | $1,445.44 |
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 $1,096.48 Median $2,818.38 Typical High $7,244.36 | Professional | None | $1,096.48 | $2,818.38 | $7,244.36 |
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 $1,348.96 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,698.24 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,000.00 | $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 $1,202.26 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,202.26 | $2,290.87 | $3,162.28 |
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 $1,096.48 Median $2,818.38 Typical High $7,244.36 | Professional | None | $1,096.48 | $2,818.38 | $7,244.36 |
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 $1,096.48 Median $1,479.11 Typical High $4,365.16 | Professional | None | $1,096.48 | $1,479.11 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,621.81 | Facility | None | $776.25 | $1,096.48 | $1,621.81 |
Well Sense Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
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 $512.86 Median $512.86 Typical High $724.44 | Professional | 52 · Reduced service | $512.86 | $512.86 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 53 · Discontinued | $204.17 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $1,096.48 | Professional | 54 · Surgery only | $758.58 | $758.58 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $1,023.29 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $630.96 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | Q3 · Living kidney donor | $512.86 | $512.86 | $691.83 |
Where Massachusetts sits
The same service costs 24.5 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· 13th of 51
$1,698
AK $4,266TX $174
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.