How much rates vary
Facilitymedian $1,148 · 10th to 90th $550 to $5,248Professionalmedian $1,318 · 10th to 90th $741 to $7,586
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 $912.01 Median $912.01 Typical High $2,570.40 | Professional | None | $912.01 | $912.01 | $2,570.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $660.69 Median $2,089.30 Typical High $5,623.41 | Facility | None | $660.69 | $2,089.30 | $5,623.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $2,511.89 Typical High $7,585.78 | Professional | None | $1,023.29 | $2,511.89 | $7,585.78 |
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 $1,047.13 Median $1,047.13 Typical High $2,818.38 | Professional | None | $1,047.13 | $1,047.13 | $2,818.38 |
Fallon Health Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $2,818.38 | Facility | None | $489.78 | $954.99 | $2,818.38 |
Fallon Health Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $1,288.25 | Professional | None | $489.78 | $891.25 | $1,288.25 |
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 $977.24 Median $1,737.80 Typical High $2,630.27 | Professional | None | $977.24 | $1,737.80 | $2,630.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $660.69 Median $2,089.30 Typical High $5,623.41 | Facility | None | $660.69 | $2,089.30 | $5,623.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,023.29 Median $2,511.89 Typical High $7,585.78 | Professional | None | $1,023.29 | $2,511.89 | $7,585.78 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $7,244.36 | Facility | None | $851.14 | $2,818.38 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $3,467.37 | Professional | None | $1,023.29 | $1,348.96 | $3,467.37 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $1,380.38 | Facility | None | $676.08 | $933.25 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $794.33 | Professional | None | $660.69 | $660.69 | $794.33 |
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 $457.09 Median $457.09 Typical High $1,288.25 | Professional | 52 · Reduced service | $457.09 | $457.09 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $512.86 | Professional | 53 · Discontinued | $181.97 | $181.97 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $1,905.46 | Professional | 54 · Surgery only | $691.83 | $691.83 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $380.19 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $257.04 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $1,778.28 |
Where Massachusetts sits
The same service costs 6.3 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· 26th of 51
$1,288
AK $3,715UT $589
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.