How much rates vary
Facilitymedian $537 · 10th to 90th $251 to $3,388Professionalmedian $617 · 10th to 90th $324 to $2,754
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 $1,148.15 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,148.15 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $1,148.15 | Professional | None | $323.59 | $323.59 | $1,148.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $616.60 Typical High $3,548.13 | Facility | None | $316.23 | $616.60 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $436.52 Median $1,174.90 Typical High $2,754.23 | Professional | None | $436.52 | $1,174.90 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $588.84 Typical High $831.76 | Facility | None | $50.12 | $588.84 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $1,071.52 | Professional | None | $489.78 | $489.78 | $1,071.52 |
Fallon Health Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $1,905.46 | Facility | None | $245.47 | $478.63 | $1,905.46 |
Fallon Health Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $616.60 | Professional | None | $239.88 | $426.58 | $616.60 |
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 $467.74 Median $851.14 Typical High $1,258.93 | Professional | None | $467.74 | $851.14 | $1,258.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $616.60 Typical High $3,548.13 | Facility | None | $316.23 | $616.60 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $436.52 Median $1,174.90 Typical High $2,754.23 | Professional | None | $436.52 | $1,174.90 | $2,754.23 |
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 $457.09 Median $616.60 Typical High $1,513.56 | Professional | None | $457.09 | $616.60 | $1,513.56 |
Well Sense Setting Facility Modifier None Typical Low $323.59 Median $436.52 Typical High $660.69 | Facility | None | $323.59 | $436.52 | $660.69 |
Well Sense Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None | $288.40 | $288.40 | $346.74 |
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 $162.18 Median $162.18 Typical High $575.44 | Professional | 52 · Reduced service | $162.18 | $162.18 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $229.09 | Professional | 53 · Discontinued | $64.57 | $64.57 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $851.14 | Professional | 54 · Surgery only | $239.88 | $239.88 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $169.82 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $114.82 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $794.33 |
Where Massachusetts sits
The same service costs 6.0 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
$603
AK $1,380UT $229
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.