How much rates vary
Facilitymedian $832 · 10th to 90th $295 to $3,890Professionalmedian $631 · 10th to 90th $324 to $2,951
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $1,348.96 | Professional | None | $426.58 | $426.58 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $416.87 Median $1,380.38 Typical High $4,168.69 | Facility | None | $416.87 | $1,380.38 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $416.87 Median $1,174.90 Typical High $2,951.21 | Professional | None | $416.87 | $1,174.90 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,318.26 Typical High $1,905.46 | Facility | None | $446.68 | $1,318.26 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,412.54 | Professional | None | $575.44 | $575.44 | $1,412.54 |
Fallon Health Setting Facility Modifier None Typical Low $251.19 Median $478.63 Typical High $1,412.54 | Facility | None | $251.19 | $478.63 | $1,412.54 |
Fallon Health Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $630.96 | Professional | None | $245.47 | $436.52 | $630.96 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $1,513.56 | Professional | None | $467.74 | $870.96 | $1,513.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $416.87 Median $1,380.38 Typical High $4,168.69 | Facility | None | $416.87 | $1,380.38 | $4,168.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $416.87 Median $1,174.90 Typical High $2,951.21 | Professional | None | $416.87 | $1,174.90 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,413.10 | Facility | None | $1,047.13 | $2,344.23 | $7,413.10 |
United Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,737.80 | Professional | None | $457.09 | $645.65 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $831.76 | Facility | None | $346.74 | $549.54 | $831.76 |
Well Sense Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | None | $331.13 | $331.13 | $398.11 |
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 $213.80 Median $213.80 Typical High $676.08 | Professional | 52 · Reduced service | $213.80 | $213.80 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $269.15 | Professional | 53 · Discontinued | $85.11 | $85.11 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $1,000.00 | Professional | 54 · Surgery only | $323.59 | $323.59 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $199.53 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $134.90 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $933.25 |
Where Massachusetts sits
The same service costs 5.1 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
$646
AK $1,698UT $331
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.