How much rates vary
Facilitymedian $1,479 · 10th to 90th $617 to $3,802Professionalmedian $2,042 · 10th to 90th $1,259 to $9,550
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 $2,691.53 Median $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,235.94 | Professional | None | $1,258.93 | $1,258.93 | $3,235.94 |
AllWays Health Partners Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $4,073.80 | Facility | None | $602.56 | $1,258.93 | $4,073.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $9,549.93 | Professional | None | $1,230.27 | $3,467.37 | $9,549.93 |
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 $1,737.80 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,737.80 | $1,737.80 | $3,311.31 |
Fallon Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,348.96 | $1,698.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,445.44 | $1,737.80 | $2,137.96 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,445.44 | $2,691.53 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $4,073.80 | Facility | None | $602.56 | $1,258.93 | $4,073.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $9,549.93 | Professional | None | $1,230.27 | $3,467.37 | $9,549.93 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $5,128.61 | Facility | None | $575.44 | $1,258.93 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $5,128.61 | Professional | None | $1,318.26 | $1,949.84 | $5,128.61 |
Well Sense Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,862.09 | Facility | None | $912.01 | $1,258.93 | $1,862.09 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | None | $851.14 | $851.14 | $1,000.00 |
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 $616.60 Median $616.60 Typical High $1,621.81 | Professional | 52 · Reduced service | $616.60 | $616.60 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $645.65 | Professional | 53 · Discontinued | $251.19 | $251.19 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $2,454.71 | Professional | 54 · Surgery only | $933.25 | $933.25 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $323.59 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $2,290.87 |
Where Massachusetts sits
The same service costs 5.6 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· 16th of 51
$1,950
AK $5,012TX $891
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.