How much rates vary
Facilitymedian $1,072 · 10th to 90th $288 to $5,370Professionalmedian $1,820 · 10th to 90th $525 to $8,318
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 $645.65 Median $1,949.84 Typical High $2,089.30 | Professional | None | $645.65 | $1,949.84 | $2,089.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $2,884.03 Typical High $8,128.31 | Facility | None | $954.99 | $2,884.03 | $8,128.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $501.19 Median $2,187.76 Typical High $21,379.62 | Professional | None | $501.19 | $2,187.76 | $21,379.62 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $933.25 | Facility | None | $398.11 | $398.11 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $2,290.87 | Facility | None | $446.68 | $1,584.89 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,659.59 Typical High $3,715.35 | Professional | None | $524.81 | $1,659.59 | $3,715.35 |
Fallon Health Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $1,621.81 | Facility | None | $229.09 | $446.68 | $1,621.81 |
Fallon Health Setting Professional Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,344.23 | Professional | None | $933.25 | $1,621.81 | $2,344.23 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $426.58 Median $1,698.24 Typical High $4,365.16 | Professional | None | $426.58 | $1,698.24 | $4,365.16 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $2,884.03 Typical High $8,128.31 | Facility | None | $954.99 | $2,884.03 | $8,128.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $501.19 Median $2,187.76 Typical High $21,379.62 | Professional | None | $501.19 | $2,187.76 | $21,379.62 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,964.78 | Facility | None | $1,071.52 | $3,467.37 | $10,964.78 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,698.24 Typical High $5,011.87 | Professional | None | $512.86 | $1,698.24 | $5,011.87 |
Well Sense Setting Facility Modifier None Typical Low $338.84 Median $1,122.02 Typical High $1,862.09 | Facility | None | $338.84 | $1,122.02 | $1,862.09 |
Well Sense Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $2,290.87 | Professional | None | $489.78 | $575.44 | $2,290.87 |
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 $323.59 Median $977.24 Typical High $1,047.13 | Professional | 52 · Reduced service | $323.59 | $977.24 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $389.05 Typical High $416.87 | Professional | 53 · Discontinued | $128.82 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $1,445.44 Typical High $1,584.89 | Professional | 54 · Surgery only | $478.63 | $1,445.44 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $295.12 Typical High $316.23 | Professional | 55 · Aftercare only | $95.50 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $194.98 Typical High $208.93 | Professional | 56 · Pre-op care only | $64.57 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $1,348.96 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $446.68 | $1,348.96 | $1,479.11 |
Where Massachusetts sits
The same service costs 4.9 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· 16th of 51
$1,698
AK $3,020TX $617
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.