How much rates vary
Facilitymedian $1,622 · 10th to 90th $708 to $4,898Professionalmedian $1,660 · 10th to 90th $871 to $10,233
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 $2,089.30 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,148.15 | $1,819.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,949.84 Typical High $4,897.79 | Facility | None | $741.31 | $1,949.84 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $10,232.93 | Professional | None | $1,202.26 | $3,090.30 | $10,232.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $3,715.35 | Professional | None | $1,148.15 | $1,949.84 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $4,365.16 | Facility | None | $741.31 | $2,951.21 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $3,630.78 | Professional | None | $1,348.96 | $1,348.96 | $3,630.78 |
Fallon Health Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $1,995.26 | Facility | None | $645.65 | $1,258.93 | $1,995.26 |
Fallon Health Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,659.59 | Professional | None | $645.65 | $1,148.15 | $1,659.59 |
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 $1,258.93 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,258.93 | $2,290.87 | $4,466.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $741.31 Median $1,949.84 Typical High $4,897.79 | Facility | None | $741.31 | $1,949.84 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $10,232.93 | Professional | None | $1,202.26 | $3,090.30 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $11,481.54 | Facility | None | $1,047.13 | $2,344.23 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $4,466.84 | Professional | None | $1,318.26 | $1,698.24 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,819.70 | Facility | None | $870.96 | $1,202.26 | $1,819.70 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None | $851.14 | $851.14 | $1,023.29 |
7 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 $575.44 Median $575.44 Typical High $1,659.59 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $660.69 | Professional | 53 · Discontinued | $229.09 | $229.09 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $2,454.71 | Professional | 54 · Surgery only | $851.14 | $851.14 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $489.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $331.13 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $2,290.87 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,230.27 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,000.00 | $1,230.27 | $2,290.87 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $10,675KY $2,405
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.