How much rates vary
Facilitymedian $1,047 · 10th to 90th $295 to $4,571Professionalmedian $631 · 10th to 90th $331 to $4,467
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 $1,778.28 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,778.28 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,174.90 | Professional | None | $416.87 | $416.87 | $1,174.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $1,737.80 Typical High $4,897.79 | Facility | None | $512.86 | $1,737.80 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $436.52 Median $1,174.90 Typical High $4,466.84 | Professional | None | $436.52 | $1,174.90 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,290.87 Typical High $3,311.31 | Facility | None | $676.08 | $2,290.87 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,348.96 | Professional | None | $512.86 | $512.86 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $251.19 Median $478.63 Typical High $2,187.76 | Facility | None | $251.19 | $478.63 | $2,187.76 |
Fallon Health Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $630.96 | Professional | None | $239.88 | $436.52 | $630.96 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $467.74 Median $851.14 Typical High $1,621.81 | Professional | None | $467.74 | $851.14 | $1,621.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $1,737.80 Typical High $4,897.79 | Facility | None | $512.86 | $1,737.80 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $436.52 Median $1,174.90 Typical High $4,466.84 | Professional | None | $436.52 | $1,174.90 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,621.81 | Professional | None | $489.78 | $630.96 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $1,047.13 | Facility | None | $363.08 | $588.84 | $1,047.13 |
Well Sense Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | None | $309.03 | $309.03 | $371.54 |
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 $208.93 Median $208.93 Typical High $588.84 | Professional | 52 · Reduced service | $208.93 | $208.93 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $234.42 | Professional | 53 · Discontinued | $83.18 | $83.18 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $891.25 | Professional | 54 · Surgery only | $316.23 | $316.23 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $177.83 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $117.49 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $831.76 |
Where Massachusetts sits
The same service costs 7.1 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
$661
AK $2,042UT $288
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.