How much rates vary
Facilitymedian $955 · 10th to 90th $479 to $3,388Professionalmedian $1,380 · 10th to 90th $692 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 $2,951.21 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,951.21 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,951.21 | Professional | None | $977.24 | $977.24 | $2,951.21 |
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 $933.25 Median $2,511.89 Typical High $7,413.10 | Professional | None | $933.25 | $2,511.89 | $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 $1,288.25 Median $1,288.25 Typical High $3,162.28 | Professional | None | $1,288.25 | $1,288.25 | $3,162.28 |
Fallon Health Setting Facility Modifier None Typical Low $524.81 Median $1,023.29 Typical High $1,819.70 | Facility | None | $524.81 | $1,023.29 | $1,819.70 |
Fallon Health Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,380.38 | Professional | None | $524.81 | $954.99 | $1,380.38 |
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 $1,023.29 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,819.70 | $2,818.38 |
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 $933.25 Median $2,511.89 Typical High $7,413.10 | Professional | None | $933.25 | $2,511.89 | $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 $1,023.29 Median $1,380.38 Typical High $4,265.80 | Professional | None | $1,023.29 | $1,380.38 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,445.44 | Facility | None | $691.83 | $933.25 | $1,445.44 |
Well Sense Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | None | $741.31 | $741.31 | $891.25 |
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 $489.78 Median $489.78 Typical High $1,479.11 | Professional | 52 · Reduced service | $489.78 | $489.78 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $588.84 | Professional | 53 · Discontinued | $194.98 | $194.98 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $2,238.72 | Professional | 54 · Surgery only | $724.44 | $724.44 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $446.68 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $295.12 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $2,089.30 |
Where Massachusetts sits
The same service costs 7.9 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· 24th of 51
$1,288
AK $3,802TX $479
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.