How much rates vary
Facilitymedian $1,175 · 10th to 90th $275 to $3,981Professionalmedian $589 · 10th to 90th $295 to $5,129
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $1,258.93 | Professional | None | $407.38 | $407.38 | $1,258.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $1,445.44 Typical High $4,265.80 | Facility | None | $457.09 | $1,445.44 | $4,265.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $398.11 Median $1,071.52 Typical High $5,128.61 | Professional | None | $398.11 | $1,071.52 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $3,311.31 | Facility | None | $588.84 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,318.26 | Professional | None | $549.54 | $549.54 | $1,318.26 |
Fallon Health Setting Facility Modifier None Typical Low $234.42 Median $457.09 Typical High $1,905.46 | Facility | None | $234.42 | $457.09 | $1,905.46 |
Fallon Health Setting Professional Modifier None Typical Low $229.09 Median $407.38 Typical High $588.84 | Professional | None | $229.09 | $407.38 | $588.84 |
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 $446.68 Median $812.83 Typical High $1,584.89 | Professional | None | $446.68 | $812.83 | $1,584.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $1,445.44 Typical High $4,265.80 | Facility | None | $457.09 | $1,445.44 | $4,265.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $398.11 Median $1,071.52 Typical High $5,128.61 | Professional | None | $398.11 | $1,071.52 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,332.54 | Facility | None | $1,047.13 | $2,344.23 | $9,332.54 |
United Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $1,778.28 | Professional | None | $426.58 | $588.84 | $1,778.28 |
Well Sense Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $1,174.90 | Facility | None | $323.59 | $512.86 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | None | $323.59 | $323.59 | $380.19 |
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 $204.17 Median $204.17 Typical High $630.96 | Professional | 52 · Reduced service | $204.17 | $204.17 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $251.19 | Professional | 53 · Discontinued | $81.28 | $81.28 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $954.99 | Professional | 54 · Surgery only | $309.03 | $309.03 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $190.55 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $125.89 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $891.25 |
Where Massachusetts sits
The same service costs 6.2 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· 28th of 51
$603
AK $1,862UT $302
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.