How much rates vary
Facilitymedian $933 · 10th to 90th $398 to $5,248Professionalmedian $741 · 10th to 90th $427 to $4,266
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None | $630.96 | $630.96 | $691.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $302.00 Median $1,584.89 Typical High $6,165.95 | Facility | None | $302.00 | $1,584.89 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $4,265.80 | Professional | None | $436.52 | $891.25 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,949.84 Typical High $3,235.94 | Facility | None | $676.08 | $1,949.84 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,584.89 | Professional | None | $851.14 | $851.14 | $1,584.89 |
Fallon Health Setting Facility Modifier None Typical Low $436.52 Median $588.84 Typical High $3,311.31 | Facility | None | $436.52 | $588.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $933.25 | Professional | None | $489.78 | $575.44 | $933.25 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $3,019.95 Typical High $8,912.51 | Facility | None | $741.31 | $3,019.95 | $8,912.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,122.02 | Professional | None | $426.58 | $776.25 | $1,122.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $302.00 Median $1,584.89 Typical High $6,165.95 | Facility | None | $302.00 | $1,584.89 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $4,265.80 | Professional | None | $436.52 | $891.25 | $4,265.80 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,818.38 Typical High $9,549.93 | Facility | None | $794.33 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $1,698.24 | Professional | None | $331.13 | $562.34 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $602.56 | Facility | None | $302.00 | $426.58 | $602.56 |
Well Sense Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None | $257.04 | $257.04 | $346.74 |
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 $309.03 Median $309.03 Typical High $338.84 | Professional | 52 · Reduced service | $309.03 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | 53 · Discontinued | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | 54 · Surgery only | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $69.18 |
BCBS Massachusetts Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $181.97 Typical High $239.88 | Professional | 80 · Assistant surgeon | $104.71 | $181.97 | $239.88 |
Where Massachusetts sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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· 22nd of 51
$741
AK $2,455KY $245
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.