How much rates vary
Facilitymedian $1,950 · 10th to 90th $724 to $6,310Professionalmedian $1,738 · 10th to 90th $912 to $7,943
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 $1,230.27 Median $1,230.27 Typical High $3,467.37 | Professional | None | $1,230.27 | $1,230.27 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $3,162.28 Typical High $8,912.51 | Facility | None | $758.58 | $3,162.28 | $8,912.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,288.25 Median $3,162.28 Typical High $7,943.28 | Professional | None | $1,288.25 | $3,162.28 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,467.37 Typical High $4,466.84 | Facility | None | $676.08 | $3,467.37 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $3,715.35 | Professional | None | $1,380.38 | $1,380.38 | $3,715.35 |
Fallon Health Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $2,041.74 | Facility | None | $660.69 | $1,288.25 | $2,041.74 |
Fallon Health Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $1,698.24 | Professional | None | $660.69 | $1,174.90 | $1,698.24 |
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 $1,288.25 Median $2,344.23 Typical High $4,677.35 | Professional | None | $1,288.25 | $2,344.23 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $3,162.28 Typical High $8,912.51 | Facility | None | $758.58 | $3,162.28 | $8,912.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,288.25 Median $3,162.28 Typical High $7,943.28 | Professional | None | $1,288.25 | $3,162.28 | $7,943.28 |
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 $1,380.38 Median $1,778.28 Typical High $4,677.35 | Professional | None | $1,380.38 | $1,778.28 | $4,677.35 |
Well Sense Setting Facility Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,862.09 | Facility | None | $912.01 | $1,230.27 | $1,862.09 |
Well Sense Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | None | $891.25 | $891.25 | $1,071.52 |
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 $616.60 Median $616.60 Typical High $1,698.24 | Professional | 52 · Reduced service | $616.60 | $616.60 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $691.83 | Professional | 53 · Discontinued | $245.47 | $245.47 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $2,570.40 | Professional | 54 · Surgery only | $912.01 | $912.01 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $512.86 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $346.74 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $2,398.83 |
Where Massachusetts sits
The same service costs 7.2 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· 28th of 51
$1,738
AK $4,898TX $676
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.