How much rates vary
Facilitymedian $1,047 · 10th to 90th $295 to $4,169Professionalmedian $759 · 10th to 90th $126 to $3,890
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 $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $977.24 Median $2,041.74 Typical High $5,370.32 | Facility | None | $977.24 | $2,041.74 | $5,370.32 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $1,071.52 Typical High $3,890.45 | Professional | None | $85.11 | $1,071.52 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,691.53 Typical High $3,311.31 | Facility | None | $676.08 | $2,691.53 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $1,380.38 | Professional | None | $245.47 | $245.47 | $1,380.38 |
Fallon Health Setting Facility Modifier None Typical Low $147.91 Median $501.19 Typical High $1,380.38 | Facility | None | $147.91 | $501.19 | $1,380.38 |
Fallon Health Setting Professional Modifier None Typical Low $147.91 Median $489.78 Typical High $1,047.13 | Professional | None | $147.91 | $489.78 | $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 $158.49 Median $1,071.52 Typical High $2,041.74 | Professional | None | $158.49 | $1,071.52 | $2,041.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $977.24 Median $2,041.74 Typical High $5,370.32 | Facility | None | $977.24 | $2,041.74 | $5,370.32 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $1,071.52 Typical High $3,890.45 | Professional | None | $85.11 | $1,071.52 | $3,890.45 |
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 $53.70 Median $776.25 Typical High $2,398.83 | Professional | None | $53.70 | $776.25 | $2,398.83 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $2,290.87 | Facility | None | $549.54 | $660.69 | $2,290.87 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
5 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 $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Where Massachusetts sits
The same service costs 53.7 times more in Alaska than in New York. 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· 32nd of 51
$832
AK $2,692NY $50.12
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.