How much rates vary
Facilitymedian $603 · 10th to 90th $288 to $2,630Professionalmedian $741 · 10th to 90th $380 to $3,467
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,698.24 | Professional | None | $537.03 | $537.03 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $323.59 Median $707.95 Typical High $2,089.30 | Facility | None | $323.59 | $707.95 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $524.81 Median $1,380.38 Typical High $3,467.37 | Professional | None | $524.81 | $1,380.38 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $489.78 Typical High $630.96 | Facility | None | $446.68 | $489.78 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,778.28 | Professional | None | $691.83 | $691.83 | $1,778.28 |
Fallon Health Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $1,412.54 | Facility | None | $288.40 | $562.34 | $1,412.54 |
Fallon Health Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $741.31 | Professional | None | $288.40 | $512.86 | $741.31 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,548.82 | Professional | None | $562.34 | $1,023.29 | $1,548.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $323.59 Median $707.95 Typical High $2,089.30 | Facility | None | $323.59 | $707.95 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $524.81 Median $1,380.38 Typical High $3,467.37 | Professional | None | $524.81 | $1,380.38 | $3,467.37 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $4,168.69 | Facility | None | $407.38 | $870.96 | $4,168.69 |
United Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $2,344.23 | Professional | None | $588.84 | $794.33 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $416.87 Typical High $758.58 | Facility | None | $239.88 | $416.87 | $758.58 |
Well Sense Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
5 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 $269.15 Median $269.15 Typical High $851.14 | Professional | 52 · Reduced service | $269.15 | $269.15 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $338.84 | Professional | 53 · Discontinued | $109.65 | $109.65 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $1,258.93 | Professional | 54 · Surgery only | $407.38 | $407.38 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $257.04 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $169.82 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $169.82 |
Where Massachusetts sits
The same service costs 4.0 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· 26th of 51
$724
AK $2,089UT $525
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.