How much rates vary
Facilitymedian $263 · 10th to 90th $112 to $2,042Professionalmedian $288 · 10th to 90th $162 to $1,514
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 $575.44 Median $2,818.38 Typical High $5,128.61 | Facility | None | $575.44 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $426.58 | Professional | None | $162.18 | $162.18 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $478.63 Typical High $1,862.09 | Facility | None | $117.49 | $478.63 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $218.78 Median $524.81 Typical High $1,513.56 | Professional | None | $218.78 | $524.81 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $309.03 Typical High $446.68 | Facility | None | $53.70 | $309.03 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $537.03 | Professional | None | $223.87 | $223.87 | $537.03 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $371.54 | Facility | None | $107.15 | $199.53 | $371.54 |
Fallon Health Setting Professional Modifier None Typical Low $107.15 Median $194.98 Typical High $281.84 | Professional | None | $107.15 | $194.98 | $281.84 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $218.78 Median $398.11 Typical High $660.69 | Professional | None | $218.78 | $398.11 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $478.63 Typical High $1,862.09 | Facility | None | $117.49 | $478.63 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $218.78 Median $524.81 Typical High $1,513.56 | Professional | None | $218.78 | $524.81 | $1,513.56 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $676.08 | Professional | None | $223.87 | $302.00 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $117.49 Median $229.09 Typical High $416.87 | Facility | None | $117.49 | $229.09 | $416.87 |
Well Sense Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None | $223.87 | $223.87 | $269.15 |
5 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 $81.28 Median $81.28 Typical High $288.40 | Professional | 52 · Reduced service | $81.28 | $81.28 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $114.82 | Professional | 53 · Discontinued | $32.36 | $32.36 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $120.23 Typical High $436.52 | Professional | 54 · Surgery only | $120.23 | $120.23 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $87.10 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $57.54 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $57.54 |
Where Massachusetts sits
The same service costs 3.2 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· 23rd of 51
$282
AK $631UT $195
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.