How much rates vary
Facilitymedian $1,202 · 10th to 90th $513 to $5,248Professionalmedian $1,202 · 10th to 90th $617 to $7,762
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 $831.76 Median $831.76 Typical High $1,445.44 | Professional | None | $831.76 | $831.76 | $1,445.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,089.30 Typical High $6,025.60 | Facility | None | $575.44 | $2,089.30 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $794.33 Median $2,238.72 Typical High $7,762.47 | Professional | None | $794.33 | $2,238.72 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,290.87 Typical High $3,311.31 | Facility | None | $446.68 | $2,290.87 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,096.48 | $2,754.23 |
Fallon Health Setting Facility Modifier None Typical Low $467.74 Median $891.25 Typical High $2,187.76 | Facility | None | $467.74 | $891.25 | $2,187.76 |
Fallon Health Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $1,202.26 | Professional | None | $457.09 | $831.76 | $1,202.26 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $2,884.03 | Professional | None | $891.25 | $1,659.59 | $2,884.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,089.30 Typical High $6,025.60 | Facility | None | $575.44 | $2,089.30 | $6,025.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $794.33 Median $2,238.72 Typical High $7,762.47 | Professional | None | $794.33 | $2,238.72 | $7,762.47 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $3,311.31 | Professional | None | $912.01 | $1,288.25 | $3,311.31 |
Well Sense Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,412.54 | Facility | None | $660.69 | $891.25 | $1,412.54 |
Well Sense Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | None | $645.65 | $645.65 | $776.25 |
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 $416.87 Median $416.87 Typical High $1,318.26 | Professional | 52 · Reduced service | $416.87 | $416.87 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $524.81 | Professional | 53 · Discontinued | $165.96 | $165.96 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $1,995.26 | Professional | 54 · Surgery only | $616.60 | $616.60 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $398.11 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $263.03 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $1,862.09 |
Where Massachusetts sits
The same service costs 6.6 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
$1,202
OK $3,802UT $575
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.