How much rates vary
Facilitymedian $912 · 10th to 90th $380 to $5,248Professionalmedian $676 · 10th to 90th $407 to $2,754
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 $588.84 Median $588.84 Typical High $676.08 | Professional | None | $588.84 | $588.84 | $676.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $288.40 Median $1,584.89 Typical High $6,165.95 | Facility | None | $288.40 | $1,584.89 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $426.58 Median $812.83 Typical High $4,073.80 | Professional | None | $426.58 | $812.83 | $4,073.80 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,348.96 | Professional | None | $630.96 | $630.96 | $1,348.96 |
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 $812.83 Median $812.83 Typical High $1,513.56 | Professional | None | $812.83 | $812.83 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $398.11 Median $537.03 Typical High $3,311.31 | Facility | None | $398.11 | $537.03 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $891.25 | Professional | None | $446.68 | $524.81 | $891.25 |
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 $389.05 Median $707.95 Typical High $1,023.29 | Professional | None | $389.05 | $707.95 | $1,023.29 |
Health New England Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Mass General Brigham Setting Facility Modifier None Typical Low $288.40 Median $1,584.89 Typical High $6,165.95 | Facility | None | $288.40 | $1,584.89 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $426.58 Median $812.83 Typical High $4,073.80 | Professional | None | $426.58 | $812.83 | $4,073.80 |
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 $363.08 Median $524.81 Typical High $1,548.82 | Professional | None | $363.08 | $524.81 | $1,548.82 |
Well Sense Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $537.03 | Facility | None | $275.42 | $389.05 | $537.03 |
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 $295.12 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $117.49 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $446.68 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $64.57 |
BCBS Massachusetts Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $169.82 Typical High $229.09 | Professional | 80 · Assistant surgeon | $100.00 | $169.82 | $229.09 |
Where Massachusetts sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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
$692
AK $2,344HI $224
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.