How much rates vary
Facilitymedian $1,349 · 10th to 90th $562 to $4,571Professionalmedian $1,349 · 10th to 90th $692 to $8,511
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 $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $3,090.30 | Professional | None | $1,047.13 | $1,047.13 | $3,090.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,089.30 Typical High $5,248.07 | Facility | None | $575.44 | $2,089.30 | $5,248.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $891.25 Median $2,511.89 Typical High $8,511.38 | Professional | None | $891.25 | $2,511.89 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,318.26 Typical High $1,949.84 | Facility | None | $446.68 | $1,318.26 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,258.93 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $537.03 Median $1,023.29 Typical High $2,187.76 | Facility | None | $537.03 | $1,023.29 | $2,187.76 |
Fallon Health Setting Professional Modifier None Typical Low $524.81 Median $933.25 Typical High $1,348.96 | Professional | None | $524.81 | $933.25 | $1,348.96 |
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 $1,023.29 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,023.29 | $1,862.09 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,089.30 Typical High $5,248.07 | Facility | None | $575.44 | $2,089.30 | $5,248.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $891.25 Median $2,511.89 Typical High $8,511.38 | Professional | None | $891.25 | $2,511.89 | $8,511.38 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $7,762.47 | Facility | None | $851.14 | $2,818.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $3,801.89 | Professional | None | $1,023.29 | $1,479.11 | $3,801.89 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,348.96 | Facility | None | $676.08 | $870.96 | $1,348.96 |
Well Sense Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
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 $524.81 Median $524.81 Typical High $1,548.82 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $616.60 | Professional | 53 · Discontinued | $208.93 | $208.93 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $2,344.23 | Professional | 54 · Surgery only | $794.33 | $794.33 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $467.74 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $309.03 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $2,187.76 |
Where Massachusetts sits
The same service costs 5.6 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· 25th of 51
$1,349
AK $3,715TX $661
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.