How much rates vary
Facilitymedian $1,148 · 10th to 90th $457 to $5,623Professionalmedian $1,096 · 10th to 90th $550 to $5,012
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 $2,290.87 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,290.87 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $2,290.87 | Professional | None | $758.58 | $758.58 | $2,290.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $7,762.47 | Facility | None | $954.99 | $2,818.38 | $7,762.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $724.44 Median $2,041.74 Typical High $5,011.87 | Professional | None | $724.44 | $2,041.74 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,290.87 Typical High $3,311.31 | Facility | None | $741.31 | $2,290.87 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,000.00 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $1,318.26 | Facility | None | $371.54 | $758.58 | $1,318.26 |
Fallon Health Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $1,096.48 | Professional | None | $416.87 | $758.58 | $1,096.48 |
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 $812.83 Median $1,479.11 Typical High $2,630.27 | Professional | None | $812.83 | $1,479.11 | $2,630.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $7,762.47 | Facility | None | $954.99 | $2,818.38 | $7,762.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $724.44 Median $2,041.74 Typical High $5,011.87 | Professional | None | $724.44 | $2,041.74 | $5,011.87 |
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 $794.33 Median $1,148.15 Typical High $3,019.95 | Professional | None | $794.33 | $1,148.15 | $3,019.95 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,122.02 | Facility | None | $549.54 | $741.31 | $1,122.02 |
Well Sense Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | None | $575.44 | $575.44 | $691.83 |
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 $371.54 Median $371.54 Typical High $1,148.15 | Professional | 52 · Reduced service | $371.54 | $371.54 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $457.09 | Professional | 53 · Discontinued | $151.36 | $151.36 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $1,737.80 | Professional | 54 · Surgery only | $562.34 | $562.34 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $346.74 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $229.09 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $1,621.81 |
Where Massachusetts sits
The same service costs 5.8 times more in Alaska 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
$1,096
AK $3,020UT $525
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.