How much rates vary
Facilitymedian $1,622 · 10th to 90th $490 to $18,197Professionalmedian $1,148 · 10th to 90th $589 to $7,413
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,412.54 | Professional | None | $812.83 | $812.83 | $1,412.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $660.69 Median $4,466.84 Typical High $19,054.61 | Facility | None | $660.69 | $4,466.84 | $19,054.61 |
AllWays Health Partners Setting Professional Modifier None Typical Low $794.33 Median $2,137.96 Typical High $7,413.10 | Professional | None | $794.33 | $2,137.96 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $22,387.21 Typical High $33,884.42 | Facility | None | $588.84 | $22,387.21 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,071.52 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $2,818.38 | Facility | None | $457.09 | $870.96 | $2,818.38 |
Fallon Health Setting Professional Modifier None Typical Low $446.68 Median $794.33 Typical High $1,148.15 | Professional | None | $446.68 | $794.33 | $1,148.15 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $14,125.38 | Facility | None | $1,096.48 | $4,073.80 | $14,125.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $870.96 Median $1,584.89 Typical High $3,162.28 | Professional | None | $870.96 | $1,584.89 | $3,162.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $660.69 Median $4,466.84 Typical High $19,054.61 | Facility | None | $660.69 | $4,466.84 | $19,054.61 |
Mass General Brigham Setting Professional Modifier None Typical Low $794.33 Median $2,137.96 Typical High $7,413.10 | Professional | None | $794.33 | $2,137.96 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $4,073.80 Typical High $33,884.42 | Facility | None | $1,258.93 | $4,073.80 | $33,884.42 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $3,548.13 | Professional | None | $851.14 | $1,148.15 | $3,548.13 |
Well Sense Setting Facility Modifier None Typical Low $645.65 Median $1,023.29 Typical High $11,748.98 | Facility | None | $645.65 | $1,023.29 | $11,748.98 |
Well Sense Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None | $616.60 | $616.60 | $741.31 |
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 $407.38 Median $407.38 Typical High $1,258.93 | Professional | 52 · Reduced service | $407.38 | $407.38 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $501.19 | Professional | 53 · Discontinued | $162.18 | $162.18 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $1,862.09 | Professional | 54 · Surgery only | $616.60 | $616.60 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $371.54 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $251.19 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $1,737.80 |
Where Massachusetts sits
The same service costs 6.8 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· 27th of 51
$1,148
AK $3,715TX $550
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.