How much rates vary
Facilitymedian $1,698 · 10th to 90th $468 to $5,888Professionalmedian $1,047 · 10th to 90th $537 to $6,918
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 $2,089.30 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,621.81 | Professional | None | $724.44 | $724.44 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $2,884.03 Typical High $8,128.31 | Facility | None | $588.84 | $2,884.03 | $8,128.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,949.84 Typical High $6,918.31 | Professional | None | $691.83 | $1,949.84 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $3,467.37 Typical High $5,248.07 | Facility | None | $446.68 | $3,467.37 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,398.83 | Professional | None | $977.24 | $977.24 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $2,187.76 | Facility | None | $416.87 | $794.33 | $2,187.76 |
Fallon Health Setting Professional Modifier None Typical Low $407.38 Median $724.44 Typical High $1,047.13 | Professional | None | $407.38 | $724.44 | $1,047.13 |
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 $776.25 Median $1,445.44 Typical High $2,570.40 | Professional | None | $776.25 | $1,445.44 | $2,570.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $2,884.03 Typical High $8,128.31 | Facility | None | $588.84 | $2,884.03 | $8,128.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $691.83 Median $1,949.84 Typical High $6,918.31 | Professional | None | $691.83 | $1,949.84 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $2,951.21 | Professional | None | $794.33 | $1,096.48 | $2,951.21 |
Well Sense Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,698.24 | Facility | None | $575.44 | $870.96 | $1,698.24 |
Well Sense Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $676.08 | Professional | None | $562.34 | $562.34 | $676.08 |
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 $1,148.15 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $457.09 | Professional | 53 · Discontinued | $144.54 | $144.54 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $1,698.24 | Professional | 54 · Surgery only | $537.03 | $537.03 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $338.84 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $229.09 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $1,584.89 |
Where Massachusetts sits
The same service costs 8.7 times more in Oklahoma 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· 26th of 51
$1,072
OK $4,365UT $501
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.