How much rates vary
Facilitymedian $1,122 · 10th to 90th $525 to $3,548Professionalmedian $1,622 · 10th to 90th $832 to $7,762
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 $3,548.13 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,548.13 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $3,548.13 | Professional | None | $1,174.90 | $1,174.90 | $3,548.13 |
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 $1,122.02 Median $3,019.95 Typical High $7,762.47 | Professional | None | $1,122.02 | $3,019.95 | $7,762.47 |
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 $1,513.56 Median $1,513.56 Typical High $3,801.89 | Professional | None | $1,513.56 | $1,513.56 | $3,801.89 |
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 $1,148.15 Typical High $1,659.59 | Professional | None | $630.96 | $1,148.15 | $1,659.59 |
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 $1,122.02 Median $3,019.95 Typical High $7,762.47 | Professional | None | $1,122.02 | $3,019.95 | $7,762.47 |
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 $1,230.27 Median $1,698.24 Typical High $5,128.61 | Professional | None | $1,230.27 | $1,698.24 | $5,128.61 |
Well Sense Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,698.24 | Facility | None | $831.76 | $1,148.15 | $1,698.24 |
Well Sense Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | None | $891.25 | $891.25 | $1,071.52 |
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 $588.84 Median $588.84 Typical High $1,778.28 | Professional | 52 · Reduced service | $588.84 | $588.84 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $707.95 | Professional | 53 · Discontinued | $234.42 | $234.42 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $2,691.53 | Professional | 54 · Surgery only | $870.96 | $870.96 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $537.03 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $354.81 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $2,511.89 |
Where Massachusetts sits
The same service costs 5.8 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
$1,549
AK $4,571UT $794
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.