How much rates vary
Facilitymedian $1,230 · 10th to 90th $490 to $5,248Professionalmedian $1,047 · 10th to 90th $537 to $5,370
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 $1,949.84 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,090.30 | $5,248.07 |
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 $630.96 Median $2,398.83 Typical High $6,606.93 | Facility | None | $630.96 | $2,398.83 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,949.84 Typical High $5,370.32 | Professional | None | $691.83 | $1,949.84 | $5,370.32 |
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 $954.99 Median $954.99 Typical High $2,398.83 | Professional | None | $954.99 | $954.99 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $2,691.53 | Facility | None | $416.87 | $794.33 | $2,691.53 |
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 $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 $776.25 Median $1,445.44 Typical High $2,511.89 | Professional | None | $776.25 | $1,445.44 | $2,511.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $6,606.93 | Facility | None | $630.96 | $2,398.83 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $691.83 Median $1,949.84 Typical High $5,370.32 | Professional | None | $691.83 | $1,949.84 | $5,370.32 |
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 $758.58 Median $1,096.48 Typical High $2,951.21 | Professional | None | $758.58 | $1,096.48 | $2,951.21 |
Well Sense Setting Facility Modifier None Typical Low $575.44 Median $1,047.13 Typical High $1,230.27 | Facility | None | $575.44 | $1,047.13 | $1,230.27 |
Well Sense Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | None | $549.54 | $549.54 | $660.69 |
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 $1,122.02 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | 53 · Discontinued | $144.54 | $144.54 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $1,659.59 | Professional | 54 · Surgery only | $537.03 | $537.03 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $331.13 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $223.87 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $1,548.82 |
Where Massachusetts sits
The same service costs 6.3 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· 27th of 51
$1,047
OK $3,311UT $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.