How much rates vary
Facilitymedian $2,399 · 10th to 90th $407 to $4,365Professionalmedian $3,802 · 10th to 90th $2,399 to $16,596
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 $5,623.41 | Facility | None | $2,691.53 | $3,090.30 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $6,309.57 | Professional | None | $2,398.83 | $2,398.83 | $6,309.57 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $5,888.44 | Facility | None | $346.74 | $1,047.13 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $6,606.93 Typical High $16,595.87 | Professional | None | $2,398.83 | $6,606.93 | $16,595.87 |
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 $3,235.94 Median $3,235.94 Typical High $6,309.57 | Professional | None | $3,235.94 | $3,235.94 | $6,309.57 |
Fallon Health Setting Facility Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,801.89 | Facility | None | $2,454.71 | $3,019.95 | $3,801.89 |
Fallon Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,890.45 | Professional | None | $2,691.53 | $3,162.28 | $3,890.45 |
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 $2,754.23 Median $5,011.87 Typical High $7,585.78 | Professional | None | $2,754.23 | $5,011.87 | $7,585.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $5,888.44 | Facility | None | $346.74 | $1,047.13 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,398.83 Median $6,606.93 Typical High $16,595.87 | Professional | None | $2,398.83 | $6,606.93 | $16,595.87 |
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 $2,630.27 Median $3,630.78 Typical High $9,772.37 | Professional | None | $2,630.27 | $3,630.78 | $9,772.37 |
Well Sense Setting Facility Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,548.13 | Facility | None | $1,737.80 | $2,344.23 | $3,548.13 |
Well Sense Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,621.81 | $1,949.84 |
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 $1,202.26 Median $1,202.26 Typical High $3,162.28 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $1,258.93 | Professional | 53 · Discontinued | $478.63 | $478.63 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $4,786.30 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $954.99 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $630.96 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $4,466.84 |
Where Massachusetts sits
The same service costs 14.1 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
$3,548
AK $9,772TX $692
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.