How much rates vary
Facilitymedian $1,122 · 10th to 90th $525 to $3,388Professionalmedian $1,778 · 10th to 90th $891 to $10,233
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 $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,801.89 | Professional | None | $1,258.93 | $1,258.93 | $3,801.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $3,548.13 | Facility | None | $346.74 | $912.01 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $3,235.94 Typical High $10,232.93 | Professional | None | $1,174.90 | $3,235.94 | $10,232.93 |
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 $1,659.59 Median $1,659.59 Typical High $4,073.80 | Professional | None | $1,659.59 | $1,659.59 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $676.08 Median $1,318.26 Typical High $2,137.96 | Facility | None | $676.08 | $1,318.26 | $2,137.96 |
Fallon Health Setting Professional Modifier None Typical Low $676.08 Median $1,230.27 Typical High $1,778.28 | Professional | None | $676.08 | $1,230.27 | $1,778.28 |
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 $1,318.26 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,318.26 | $2,344.23 | $3,630.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $3,548.13 | Facility | None | $346.74 | $912.01 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $3,235.94 Typical High $10,232.93 | Professional | None | $1,174.90 | $3,235.94 | $10,232.93 |
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 $1,318.26 Median $1,819.70 Typical High $5,495.41 | Professional | None | $1,318.26 | $1,819.70 | $5,495.41 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,862.09 | Facility | None | $891.25 | $1,230.27 | $1,862.09 |
Well Sense Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
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 $630.96 Median $630.96 Typical High $1,905.46 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $758.58 | Professional | 53 · Discontinued | $251.19 | $251.19 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $2,884.03 | Professional | 54 · Surgery only | $933.25 | $933.25 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $575.44 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $380.19 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $2,691.53 |
Where Massachusetts sits
The same service costs 5.9 times more in Alaska than in Texas. 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
$1,660
AK $4,898TX $832
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.