How much rates vary
Facilitymedian $1,380 · 10th to 90th $589 to $4,571Professionalmedian $1,479 · 10th to 90th $741 to $6,918
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,047.13 | $3,019.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $5,888.44 | Facility | None | $501.19 | $2,089.30 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $977.24 Median $2,691.53 Typical High $6,918.31 | Professional | None | $977.24 | $2,691.53 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,318.26 Typical High $1,949.84 | Facility | None | $588.84 | $1,318.26 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $3,388.44 | Professional | None | $1,380.38 | $1,380.38 | $3,388.44 |
Fallon Health Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $1,995.26 | Facility | None | $562.34 | $1,096.48 | $1,995.26 |
Fallon Health Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,479.11 | Professional | None | $575.44 | $1,023.29 | $1,479.11 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $3,715.35 | Professional | None | $1,096.48 | $2,041.74 | $3,715.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $5,888.44 | Facility | None | $501.19 | $2,089.30 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $977.24 Median $2,691.53 Typical High $6,918.31 | Professional | None | $977.24 | $2,691.53 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,413.10 | Facility | None | $1,047.13 | $2,344.23 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $4,466.84 | Professional | None | $1,096.48 | $1,479.11 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,548.82 | Facility | None | $741.31 | $1,000.00 | $1,548.82 |
Well Sense Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None | $776.25 | $776.25 | $933.25 |
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 $524.81 Median $524.81 Typical High $1,513.56 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $602.56 | Professional | 53 · Discontinued | $208.93 | $208.93 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $2,290.87 | Professional | 54 · Surgery only | $776.25 | $776.25 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $457.09 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $302.00 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $2,137.96 |
Where Massachusetts sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 22nd of 51
$1,479
AK $4,074UT $692
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.