How much rates vary
Facilitymedian $1,445 · 10th to 90th $389 to $6,166Professionalmedian $832 · 10th to 90th $447 to $3,890
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 $2,570.40 Median $3,090.30 Typical High $6,309.57 | Facility | None | $2,570.40 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,621.81 | Professional | None | $575.44 | $575.44 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $8,912.51 | Facility | None | $724.44 | $3,090.30 | $8,912.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,584.89 Typical High $3,890.45 | Professional | None | $588.84 | $1,584.89 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $3,019.95 Typical High $4,365.16 | Facility | None | $446.68 | $3,019.95 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,819.70 | Professional | None | $676.08 | $676.08 | $1,819.70 |
Fallon Health Setting Facility Modifier None Typical Low $331.13 Median $645.65 Typical High $2,818.38 | Facility | None | $331.13 | $645.65 | $2,818.38 |
Fallon Health Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $831.76 | Professional | None | $323.59 | $575.44 | $831.76 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $630.96 Median $1,148.15 Typical High $2,238.72 | Professional | None | $630.96 | $1,148.15 | $2,238.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $8,912.51 | Facility | None | $724.44 | $3,090.30 | $8,912.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $588.84 Median $1,584.89 Typical High $3,890.45 | Professional | None | $588.84 | $1,584.89 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,182.57 | Facility | None | $1,071.52 | $3,467.37 | $13,182.57 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $2,238.72 | Professional | None | $660.69 | $851.14 | $2,238.72 |
Well Sense Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,548.82 | Facility | None | $489.78 | $776.25 | $1,548.82 |
Well Sense Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
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 $288.40 Median $288.40 Typical High $812.83 | Professional | 52 · Reduced service | $288.40 | $288.40 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $323.59 | Professional | 53 · Discontinued | $114.82 | $114.82 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $1,230.27 | Professional | 54 · Surgery only | $426.58 | $426.58 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $245.47 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $162.18 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $1,148.15 |
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· 27th of 51
$871
AK $2,754UT $398
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.