How much rates vary
Facilitymedian $933 · 10th to 90th $339 to $5,129Professionalmedian $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 $371.54 Median $1,698.24 Typical High $5,495.41 | Facility | None | $371.54 | $1,698.24 | $5,495.41 |
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 $6,309.57 Typical High $9,549.93 | Facility | None | $446.68 | $6,309.57 | $9,549.93 |
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 $549.54 Median $1,318.26 Typical High $5,128.61 | Facility | None | $549.54 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $588.84 Median $1,096.48 Typical High $2,238.72 | Professional | None | $588.84 | $1,096.48 | $2,238.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $371.54 Median $1,698.24 Typical High $5,495.41 | Facility | None | $371.54 | $1,698.24 | $5,495.41 |
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 $575.44 Median $1,380.38 Typical High $13,182.57 | Facility | None | $575.44 | $1,380.38 | $13,182.57 |
United Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $2,511.89 | Professional | None | $630.96 | $831.76 | $2,511.89 |
Well Sense Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $1,698.24 | Facility | None | $446.68 | $676.08 | $1,698.24 |
Well Sense Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | None | $446.68 | $446.68 | $524.81 |
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 New York. 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· 33rd of 51
$794
AK $2,239NY $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.