How much rates vary
Facilitymedian $1,950 · 10th to 90th $776 to $7,586Professionalmedian $1,862 · 10th to 90th $977 to $8,511
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 $3,388.44 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,388.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,715.35 | Professional | None | $1,318.26 | $1,318.26 | $3,715.35 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $10,232.93 | Facility | None | $954.99 | $3,467.37 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $3,467.37 Typical High $8,511.38 | Professional | None | $1,380.38 | $3,467.37 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,897.79 Typical High $6,309.57 | Facility | None | $676.08 | $4,897.79 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,981.07 | Professional | None | $1,513.56 | $1,513.56 | $3,981.07 |
Fallon Health Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $2,187.76 | Facility | None | $707.95 | $1,380.38 | $2,187.76 |
Fallon Health Setting Professional Modifier None Typical Low $707.95 Median $1,258.93 Typical High $1,819.70 | Professional | None | $707.95 | $1,258.93 | $1,819.70 |
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 $1,380.38 Median $2,570.40 Typical High $5,011.87 | Professional | None | $1,380.38 | $2,570.40 | $5,011.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $10,232.93 | Facility | None | $954.99 | $3,467.37 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,380.38 Median $3,467.37 Typical High $8,511.38 | Professional | None | $1,380.38 | $3,467.37 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $14,125.38 | Facility | None | $1,071.52 | $3,467.37 | $14,125.38 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $5,011.87 | Professional | None | $1,479.11 | $1,949.84 | $5,011.87 |
Well Sense Setting Facility Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,995.26 | Facility | None | $977.24 | $1,348.96 | $1,995.26 |
Well Sense Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
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 $660.69 Median $660.69 Typical High $1,862.09 | Professional | 52 · Reduced service | $660.69 | $660.69 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $741.31 | Professional | 53 · Discontinued | $263.03 | $263.03 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $2,818.38 | Professional | 54 · Surgery only | $977.24 | $977.24 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $562.34 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $371.54 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $2,630.27 |
Where Massachusetts sits
The same service costs 6.9 times more in Alaska than in Texas. 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
$1,862
AK $5,370TX $776
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.