How much rates vary
Facilitymedian $977 · 10th to 90th $437 to $3,388Professionalmedian $1,259 · 10th to 90th $708 to $5,754
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 $2,454.71 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,454.71 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $2,454.71 | Professional | None | $707.95 | $707.95 | $2,454.71 |
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 $954.99 Median $2,398.83 Typical High $5,754.40 | Professional | None | $954.99 | $2,398.83 | $5,754.40 |
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 $1,023.29 Median $1,023.29 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,023.29 | $2,454.71 |
Fallon Health Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $1,698.24 | Facility | None | $489.78 | $954.99 | $1,698.24 |
Fallon Health Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $1,258.93 | Professional | None | $489.78 | $870.96 | $1,258.93 |
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 $977.24 Median $1,778.28 Typical High $2,570.40 | Professional | None | $977.24 | $1,778.28 | $2,570.40 |
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 $954.99 Median $2,398.83 Typical High $5,754.40 | Professional | None | $954.99 | $2,398.83 | $5,754.40 |
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 $977.24 Median $1,288.25 Typical High $3,090.30 | Professional | None | $977.24 | $1,288.25 | $3,090.30 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,949.84 | Facility | None | $933.25 | $1,318.26 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Professional | None | $912.01 | $912.01 | $1,096.48 |
7 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 $354.81 Median $354.81 Typical High $1,230.27 | Professional | 52 · Reduced service | $354.81 | $354.81 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $489.78 | Professional | 53 · Discontinued | $141.25 | $141.25 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $1,862.09 | Professional | 54 · Surgery only | $524.81 | $524.81 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $371.54 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $245.47 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $1,737.80 |
BCBS Massachusetts Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $371.54 Typical High $478.63 | Professional | 80 · Assistant surgeon | $141.25 | $371.54 | $478.63 |
Where Massachusetts sits
The same service costs 6.6 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· 19th of 51
$1,202
AK $2,884TX $437
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.