How much rates vary
Facilitymedian $676 · 10th to 90th $331 to $3,236Professionalmedian $794 · 10th to 90th $407 to $3,715
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 $575.44 Median $575.44 Typical High $1,778.28 | Professional | None | $575.44 | $575.44 | $1,778.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $2,089.30 | Facility | None | $354.81 | $724.44 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $549.54 Median $1,479.11 Typical High $3,715.35 | Professional | None | $549.54 | $1,479.11 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,187.76 Typical High $3,311.31 | Facility | None | $446.68 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,905.46 | Professional | None | $741.31 | $741.31 | $1,905.46 |
Fallon Health Setting Facility Modifier None Typical Low $309.03 Median $588.84 Typical High $1,412.54 | Facility | None | $309.03 | $588.84 | $1,412.54 |
Fallon Health Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $794.33 | Professional | None | $302.00 | $549.54 | $794.33 |
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 $602.56 Median $1,096.48 Typical High $1,862.09 | Professional | None | $602.56 | $1,096.48 | $1,862.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $2,089.30 | Facility | None | $354.81 | $724.44 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $549.54 Median $1,479.11 Typical High $3,715.35 | Professional | None | $549.54 | $1,479.11 | $3,715.35 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $8,128.31 | Facility | None | $407.38 | $870.96 | $8,128.31 |
United Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $2,511.89 | Professional | None | $630.96 | $851.14 | $2,511.89 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $831.76 | Facility | None | $346.74 | $602.56 | $831.76 |
Well Sense Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | None | $446.68 | $446.68 | $537.03 |
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 $288.40 Median $288.40 Typical High $891.25 | Professional | 52 · Reduced service | $288.40 | $288.40 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $354.81 | Professional | 53 · Discontinued | $114.82 | $114.82 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $1,348.96 | Professional | 54 · Surgery only | $436.52 | $436.52 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $269.15 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $177.83 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $177.83 |
Where Massachusetts sits
The same service costs 3.9 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· 35th of 51
$776
AK $2,239UT $575
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.