How much rates vary
Facilitymedian $1,622 · 10th to 90th $617 to $5,888Professionalmedian $1,047 · 10th to 90th $589 to $5,129
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 $1,584.89 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,584.89 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $933.25 | Professional | None | $549.54 | $549.54 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $645.65 Median $2,398.83 Typical High $6,606.93 | Facility | None | $645.65 | $2,398.83 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $645.65 Median $1,659.59 Typical High $5,128.61 | Professional | None | $645.65 | $1,659.59 | $5,128.61 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $2,187.76 | Professional | None | $851.14 | $851.14 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,290.87 Typical High $3,311.31 | Facility | None | $446.68 | $2,290.87 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,479.11 | Professional | None | $776.25 | $1,000.00 | $1,479.11 |
Fallon Health Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $3,311.31 | Facility | None | $645.65 | $831.76 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,148.15 | Professional | None | $741.31 | $870.96 | $1,148.15 |
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 $691.83 Median $1,348.96 Typical High $1,905.46 | Professional | None | $691.83 | $1,348.96 | $1,905.46 |
Mass General Brigham Setting Facility Modifier None Typical Low $645.65 Median $2,398.83 Typical High $6,606.93 | Facility | None | $645.65 | $2,398.83 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $645.65 Median $1,659.59 Typical High $5,128.61 | Professional | None | $645.65 | $1,659.59 | $5,128.61 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $2,570.40 | Professional | None | $630.96 | $831.76 | $2,570.40 |
Well Sense Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,174.90 | Facility | None | $501.19 | $851.14 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | None | $426.58 | $426.58 | $575.44 |
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 $275.42 Median $275.42 Typical High $398.11 | Professional | 52 · Reduced service | $275.42 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $158.49 | Professional | 53 · Discontinued | $109.65 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $602.56 | Professional | 54 · Surgery only | $407.38 | $407.38 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $120.23 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $79.43 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $562.34 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $363.08 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | Q3 · Living kidney donor | $316.23 | $316.23 | $426.58 |
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· 11th of 51
$1,122
AK $2,512TX $427
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.