How much rates vary
Facilitymedian $977 · 10th to 90th $437 to $3,890Professionalmedian $1,047 · 10th to 90th $525 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 $2,238.72 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,238.72 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $2,238.72 | Professional | None | $741.31 | $741.31 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $1,584.89 Typical High $4,570.88 | Facility | None | $436.52 | $1,584.89 | $4,570.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,905.46 Typical High $6,309.57 | Professional | None | $691.83 | $1,905.46 | $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 $954.99 Median $954.99 Typical High $2,398.83 | Professional | None | $954.99 | $954.99 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $398.11 Median $776.25 Typical High $1,380.38 | Facility | None | $398.11 | $776.25 | $1,380.38 |
Fallon Health Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $1,047.13 | Professional | None | $398.11 | $724.44 | $1,047.13 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,137.96 | Professional | None | $776.25 | $1,380.38 | $2,137.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $1,584.89 Typical High $4,570.88 | Facility | None | $436.52 | $1,584.89 | $4,570.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $691.83 Median $1,905.46 Typical High $6,309.57 | Professional | None | $691.83 | $1,905.46 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $5,754.40 | Facility | None | $1,047.13 | $2,238.72 | $5,754.40 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $3,162.28 | Professional | None | $758.58 | $1,047.13 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $1,071.52 | Facility | None | $524.81 | $724.44 | $1,071.52 |
Well Sense Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | None | $549.54 | $549.54 | $660.69 |
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 $363.08 Median $363.08 Typical High $1,122.02 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $446.68 | Professional | 53 · Discontinued | $147.91 | $147.91 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $1,659.59 | Professional | 54 · Surgery only | $549.54 | $549.54 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $331.13 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $223.87 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $1,548.82 |
Where Massachusetts sits
The same service costs 5.4 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
$1,047
AK $2,884UT $537
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.