How much rates vary
Facilitymedian $1,230 · 10th to 90th $407 to $3,548Professionalmedian $1,698 · 10th to 90th $1,023 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 $2,630.27 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,630.27 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,023.29 | $2,630.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $3,548.13 | Facility | None | $346.74 | $851.14 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $9,549.93 | Professional | None | $1,000.00 | $2,884.03 | $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 $1,412.54 Median $1,412.54 Typical High $2,754.23 | Professional | None | $1,412.54 | $1,412.54 | $2,754.23 |
Fallon Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,412.54 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,445.44 | $1,778.28 |
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 $1,174.90 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,174.90 | $2,238.72 | $3,388.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $3,548.13 | Facility | None | $346.74 | $851.14 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $9,549.93 | Professional | None | $1,000.00 | $2,884.03 | $9,549.93 |
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 $1,071.52 Median $1,584.89 Typical High $4,265.80 | Professional | None | $1,071.52 | $1,584.89 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,548.82 | Facility | None | $758.58 | $1,047.13 | $1,548.82 |
Well Sense Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | None | $691.83 | $691.83 | $831.76 |
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 $512.86 Median $512.86 Typical High $1,318.26 | Professional | 52 · Reduced service | $512.86 | $512.86 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $537.03 | Professional | 53 · Discontinued | $204.17 | $204.17 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $1,995.26 | Professional | 54 · Surgery only | $758.58 | $758.58 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $398.11 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $263.03 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $1,862.09 |
Where Massachusetts sits
The same service costs 18.6 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
$1,585
AK $4,169TX $224
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.