How much rates vary
Facilitymedian $2,884 · 10th to 90th $617 to $12,882Professionalmedian $955 · 10th to 90th $562 to $3,802
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 $2,570.40 Median $3,467.37 Typical High $7,413.10 | Facility | None | $2,570.40 | $3,467.37 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,584.89 | Professional | None | $562.34 | $562.34 | $1,584.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $4,570.88 Typical High $16,218.10 | Facility | None | $1,318.26 | $4,570.88 | $16,218.10 |
AllWays Health Partners Setting Professional Modifier None Typical Low $575.44 Median $1,513.56 Typical High $3,801.89 | Professional | None | $575.44 | $1,513.56 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $11,220.18 Typical High $14,454.40 | Facility | None | $676.08 | $11,220.18 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,513.56 | Professional | None | $776.25 | $776.25 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $3,311.31 | Facility | None | $562.34 | $707.95 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $870.96 | Professional | None | $602.56 | $707.95 | $870.96 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $14,125.38 | Facility | None | $1,096.48 | $4,073.80 | $14,125.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $630.96 Median $1,174.90 Typical High $2,344.23 | Professional | None | $630.96 | $1,174.90 | $2,344.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,318.26 Median $4,570.88 Typical High $16,218.10 | Facility | None | $1,318.26 | $4,570.88 | $16,218.10 |
Mass General Brigham Setting Professional Modifier None Typical Low $575.44 Median $1,513.56 Typical High $3,801.89 | Professional | None | $575.44 | $1,513.56 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $4,073.80 Typical High $26,302.68 | Facility | None | $1,258.93 | $4,073.80 | $26,302.68 |
United Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $2,344.23 | Professional | None | $630.96 | $870.96 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $851.14 | Facility | None | $416.87 | $575.44 | $851.14 |
Well Sense Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | None | $407.38 | $407.38 | $489.78 |
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 $281.84 Median $281.84 Typical High $794.33 | Professional | 52 · Reduced service | $281.84 | $281.84 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $323.59 | Professional | 53 · Discontinued | $112.20 | $112.20 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $1,202.26 | Professional | 54 · Surgery only | $426.58 | $426.58 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $239.88 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $158.49 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $158.49 |
Where Massachusetts sits
The same service costs 9.8 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $17,480MT $1,783
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.