How much rates vary
Facilitymedian $1,047 · 10th to 90th $525 to $3,388Professionalmedian $1,514 · 10th to 90th $813 to $7,413
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 $2,884.03 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,884.03 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,096.48 | $2,884.03 |
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 $2,884.03 Typical High $7,413.10 | Professional | None | $1,096.48 | $2,884.03 | $7,413.10 |
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 $1,445.44 Median $1,445.44 Typical High $3,548.13 | Professional | None | $1,445.44 | $1,445.44 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $1,995.26 | Facility | None | $630.96 | $1,230.27 | $1,995.26 |
Fallon Health Setting Professional Modifier None Typical Low $630.96 Median $1,122.02 Typical High $1,621.81 | Professional | None | $630.96 | $1,122.02 | $1,621.81 |
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 $1,230.27 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,230.27 | $2,187.76 | $3,388.44 |
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 $2,884.03 Typical High $7,413.10 | Professional | None | $1,096.48 | $2,884.03 | $7,413.10 |
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 $1,174.90 Median $1,513.56 Typical High $4,786.30 | Professional | None | $1,174.90 | $1,513.56 | $4,786.30 |
Well Sense Setting Facility Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,621.81 | Facility | None | $794.33 | $1,096.48 | $1,621.81 |
Well Sense Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | None | $758.58 | $758.58 | $912.01 |
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 $549.54 Median $549.54 Typical High $1,445.44 | Professional | 52 · Reduced service | $549.54 | $549.54 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $575.44 | Professional | 53 · Discontinued | $218.78 | $218.78 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $2,187.76 | Professional | 54 · Surgery only | $812.83 | $812.83 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $436.52 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $288.40 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $2,041.74 |
Where Massachusetts sits
The same service costs 6.6 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· 21st of 51
$1,479
AK $4,365TX $661
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.