How much rates vary
Facilitymedian $2,239 · 10th to 90th $479 to $5,888Professionalmedian $6,761 · 10th to 90th $3,890 to $29,512
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 $2,691.53 Median $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,897.79 | Professional | None | $3,467.37 | $3,467.37 | $4,897.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $407.38 Median $1,479.11 Typical High $5,888.44 | Facility | None | $407.38 | $1,479.11 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5,128.61 Median $11,748.98 Typical High $29,512.09 | Professional | None | $5,128.61 | $11,748.98 | $29,512.09 |
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 $5,623.41 Median $5,623.41 Typical High $12,589.25 | Professional | None | $5,623.41 | $5,623.41 | $12,589.25 |
Fallon Health Setting Facility Modifier None Typical Low $794.33 Median $5,495.41 Typical High $6,456.54 | Facility | None | $794.33 | $5,495.41 | $6,456.54 |
Fallon Health Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,456.54 | Professional | None | $5,495.41 | $5,495.41 | $6,456.54 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4,897.79 Median $8,511.38 Typical High $12,589.25 | Professional | None | $4,897.79 | $8,511.38 | $12,589.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $407.38 Median $1,479.11 Typical High $5,888.44 | Facility | None | $407.38 | $1,479.11 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $5,128.61 Median $11,748.98 Typical High $29,512.09 | Professional | None | $5,128.61 | $11,748.98 | $29,512.09 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,148.15 Typical High $8,128.31 | Facility | None | $316.23 | $1,148.15 | $8,128.31 |
United Setting Professional Modifier None Typical Low $4,466.84 Median $6,165.95 Typical High $15,135.61 | Professional | None | $4,466.84 | $6,165.95 | $15,135.61 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,630.78 | $4,897.79 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
Well Sense Setting Professional Modifier 58 · Staged procedure + 76 · Repeat, same provider Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | 58 · Staged procedure + 76 · Repeat, same provider | $1,995.26 | $1,995.26 | $1,995.26 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 15th of 51
$5,888
AK $14,125AR $3,236
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.