How much rates vary
Facilitymedian $1,047 · 10th to 90th $372 to $5,888Professionalmedian $891 · 10th to 90th $468 to $4,074
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 $1,698.24 Median $2,818.38 Typical High $5,128.61 | Facility | None | $1,698.24 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,698.24 | Professional | None | $602.56 | $602.56 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $7,762.47 | Facility | None | $524.81 | $2,818.38 | $7,762.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,659.59 Typical High $4,073.80 | Professional | None | $630.96 | $1,659.59 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,951.21 Typical High $4,365.16 | Facility | None | $446.68 | $2,951.21 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,905.46 | Professional | None | $724.44 | $724.44 | $1,905.46 |
Fallon Health Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $2,187.76 | Facility | None | $354.81 | $676.08 | $2,187.76 |
Fallon Health Setting Professional Modifier None Typical Low $338.84 Median $616.60 Typical High $891.25 | Professional | None | $338.84 | $616.60 | $891.25 |
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 $660.69 Median $1,202.26 Typical High $2,344.23 | Professional | None | $660.69 | $1,202.26 | $2,344.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $7,762.47 | Facility | None | $524.81 | $2,818.38 | $7,762.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $630.96 Median $1,659.59 Typical High $4,073.80 | Professional | None | $630.96 | $1,659.59 | $4,073.80 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $11,481.54 | Facility | None | $851.14 | $2,818.38 | $11,481.54 |
United Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $2,344.23 | Professional | None | $691.83 | $891.25 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $467.74 Median $630.96 Typical High $954.99 | Facility | None | $467.74 | $630.96 | $954.99 |
Well Sense Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | None | $436.52 | $436.52 | $524.81 |
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 $302.00 Median $302.00 Typical High $851.14 | Professional | 52 · Reduced service | $302.00 | $302.00 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $338.84 | Professional | 53 · Discontinued | $120.23 | $120.23 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $1,288.25 | Professional | 54 · Surgery only | $457.09 | $457.09 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $257.04 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $169.82 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $1,202.26 |
Where Massachusetts sits
The same service costs 6.2 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· 27th of 51
$891
AK $2,512UT $407
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.