How much rates vary
Facilitymedian $955 · 10th to 90th $468 to $3,388Professionalmedian $1,349 · 10th to 90th $676 to $6,310
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 $2,884.03 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,884.03 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,884.03 | Professional | None | $954.99 | $954.99 | $2,884.03 |
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 $2,454.71 Typical High $6,309.57 | Professional | None | $933.25 | $2,454.71 | $6,309.57 |
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 $1,258.93 Median $1,258.93 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,258.93 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $1,778.28 | Facility | None | $512.86 | $1,000.00 | $1,778.28 |
Fallon Health Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $1,348.96 | Professional | None | $512.86 | $933.25 | $1,348.96 |
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 $1,000.00 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,778.28 | $2,754.23 |
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 $2,454.71 Typical High $6,309.57 | Professional | None | $933.25 | $2,454.71 | $6,309.57 |
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 $1,000.00 Median $1,380.38 Typical High $4,168.69 | Professional | None | $1,000.00 | $1,380.38 | $4,168.69 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $1,380.38 | Facility | None | $676.08 | $933.25 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | None | $724.44 | $724.44 | $870.96 |
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 $478.63 Median $478.63 Typical High $1,445.44 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $575.44 | Professional | 53 · Discontinued | $190.55 | $190.55 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $2,187.76 | Professional | 54 · Surgery only | $707.95 | $707.95 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $436.52 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $288.40 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $2,041.74 |
Where Massachusetts sits
The same service costs 5.6 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· 24th of 51
$1,259
AK $3,715UT $661
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.