How much rates vary
Facilitymedian $871 · 10th to 90th $417 to $3,548Professionalmedian $1,122 · 10th to 90th $603 to $5,248
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 $812.83 Median $812.83 Typical High $2,187.76 | Professional | None | $812.83 | $812.83 | $2,187.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $812.83 Median $2,137.96 Typical High $5,248.07 | Professional | None | $812.83 | $2,137.96 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $954.99 Typical High $1,380.38 | Facility | None | $50.12 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,454.71 | Professional | None | $912.01 | $912.01 | $2,454.71 |
Fallon Health Setting Facility Modifier None Typical Low $446.68 Median $851.14 Typical High $2,187.76 | Facility | None | $446.68 | $851.14 | $2,187.76 |
Fallon Health Setting Professional Modifier None Typical Low $436.52 Median $776.25 Typical High $1,122.02 | Professional | None | $436.52 | $776.25 | $1,122.02 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $851.14 Median $1,513.56 Typical High $2,344.23 | Professional | None | $851.14 | $1,513.56 | $2,344.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $812.83 Median $2,137.96 Typical High $5,248.07 | Professional | None | $812.83 | $2,137.96 | $5,248.07 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $3,019.95 | Professional | None | $891.25 | $1,148.15 | $3,019.95 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $812.83 Typical High $1,230.27 | Facility | None | $602.56 | $812.83 | $1,230.27 |
Well Sense Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $691.83 | Professional | None | $588.84 | $588.84 | $691.83 |
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 $407.38 Median $407.38 Typical High $1,096.48 | Professional | 52 · Reduced service | $407.38 | $407.38 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $446.68 | Professional | 53 · Discontinued | $162.18 | $162.18 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $1,659.59 | Professional | 54 · Surgery only | $602.56 | $602.56 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $331.13 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $218.78 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $1,548.82 |
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· 25th of 51
$1,072
AK $3,236UT $525
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.