How much rates vary
Facilitymedian $661 · 10th to 90th $339 to $3,548Professionalmedian $741 · 10th to 90th $417 to $3,548
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 $1,288.25 Median $2,818.38 Typical High $5,128.61 | Facility | None | $1,288.25 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,288.25 | Professional | None | $389.05 | $389.05 | $1,288.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $776.25 Typical High $3,548.13 | Facility | None | $338.84 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,548.13 | Professional | None | $489.78 | $1,258.93 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $1,380.38 | Facility | None | $676.08 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,230.27 | Professional | None | $630.96 | $630.96 | $1,230.27 |
Fallon Health Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $3,311.31 | Facility | None | $457.09 | $575.44 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $707.95 | Professional | None | $489.78 | $575.44 | $707.95 |
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 $512.86 Median $933.25 Typical High $1,412.54 | Professional | None | $512.86 | $933.25 | $1,412.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $776.25 Typical High $3,548.13 | Facility | None | $338.84 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,548.13 | Professional | None | $489.78 | $1,258.93 | $3,548.13 |
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 $524.81 Median $707.95 Typical High $1,862.09 | Professional | None | $524.81 | $707.95 | $1,862.09 |
Well Sense Setting Facility Modifier None Typical Low $338.84 Median $467.74 Typical High $691.83 | Facility | None | $338.84 | $467.74 | $691.83 |
Well Sense Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | None | $295.12 | $295.12 | $354.81 |
5 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 $194.98 Median $194.98 Typical High $645.65 | Professional | 52 · Reduced service | $194.98 | $194.98 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $257.04 | Professional | 53 · Discontinued | $77.62 | $77.62 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $977.24 | Professional | 54 · Surgery only | $288.40 | $288.40 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $194.98 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $128.82 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $128.82 |
Where Massachusetts sits
The same service costs 4.3 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· 18th of 51
$724
AK $1,905UT $447
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.