How much rates vary
Facilitymedian $1,023 · 10th to 90th $363 to $3,311Professionalmedian $1,549 · 10th to 90th $832 to $6,761
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 $2,089.30 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $2,238.72 | Professional | None | $831.76 | $831.76 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $354.81 Median $776.25 Typical High $2,951.21 | Facility | None | $354.81 | $776.25 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None Typical Low $831.76 Median $2,344.23 Typical High $6,760.83 | Professional | None | $831.76 | $2,344.23 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $1,047.13 | Facility | None | $676.08 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,348.96 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,348.96 | $1,584.89 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,047.13 | $2,041.74 | $3,019.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $354.81 Median $776.25 Typical High $2,951.21 | Facility | None | $354.81 | $776.25 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None Typical Low $831.76 Median $2,344.23 Typical High $6,760.83 | Professional | None | $831.76 | $2,344.23 | $6,760.83 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $4,168.69 | Facility | None | $407.38 | $870.96 | $4,168.69 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $3,981.07 | Professional | None | $891.25 | $1,380.38 | $3,981.07 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $1,412.54 | Facility | None | $346.74 | $707.95 | $1,412.54 |
Well Sense Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
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 $416.87 Median $416.87 Typical High $1,122.02 | Professional | 52 · Reduced service | $416.87 | $416.87 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | 53 · Discontinued | $165.96 | $165.96 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $1,659.59 | Professional | 54 · Surgery only | $616.60 | $616.60 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $338.84 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $223.87 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $1,548.82 |
Where Massachusetts sits
The same service costs 22.4 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· 12th of 51
$1,514
AK $3,981TX $178
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.