How much rates vary
Facilitymedian $1,096 · 10th to 90th $245 to $3,890Professionalmedian $525 · 10th to 90th $269 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 $1,071.52 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,071.52 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,071.52 | Professional | None | $363.08 | $363.08 | $1,071.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $371.54 Median $1,380.38 Typical High $4,168.69 | Facility | None | $371.54 | $1,380.38 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $346.74 Median $977.24 Typical High $5,370.32 | Professional | None | $346.74 | $977.24 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,187.76 Typical High $3,311.31 | Facility | None | $446.68 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,148.15 | Professional | None | $478.63 | $478.63 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $1,412.54 | Facility | None | $208.93 | $398.11 | $1,412.54 |
Fallon Health Setting Professional Modifier None Typical Low $199.53 Median $363.08 Typical High $524.81 | Professional | None | $199.53 | $363.08 | $524.81 |
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 $389.05 Median $707.95 Typical High $1,258.93 | Professional | None | $389.05 | $707.95 | $1,258.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $371.54 Median $1,380.38 Typical High $4,168.69 | Facility | None | $371.54 | $1,380.38 | $4,168.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $346.74 Median $977.24 Typical High $5,370.32 | Professional | None | $346.74 | $977.24 | $5,370.32 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,332.54 | Facility | None | $1,047.13 | $2,344.23 | $9,332.54 |
United Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $1,445.44 | Professional | None | $371.54 | $537.03 | $1,445.44 |
Well Sense Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,174.90 | Facility | None | $281.84 | $457.09 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | None | $263.03 | $263.03 | $316.23 |
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 $181.97 Median $181.97 Typical High $537.03 | Professional | 52 · Reduced service | $181.97 | $181.97 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $213.80 | Professional | 53 · Discontinued | $72.44 | $72.44 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $794.33 | Professional | 54 · Surgery only | $269.15 | $269.15 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $158.49 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $107.15 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $741.31 |
Where Massachusetts sits
The same service costs 6.9 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· 24th of 51
$550
AK $1,905UT $275
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.