How much rates vary
Facilitymedian $977 · 10th to 90th $380 to $3,631Professionalmedian $550 · 10th to 90th $372 to $3,388
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,096.48 | Professional | None | $416.87 | $416.87 | $1,096.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $446.68 Median $1,288.25 Typical High $3,801.89 | Facility | None | $446.68 | $1,288.25 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $346.74 Median $794.33 Typical High $3,388.44 | Professional | None | $346.74 | $794.33 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,258.93 Typical High $1,819.70 | Facility | None | $588.84 | $1,258.93 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $891.25 | Professional | None | $478.63 | $478.63 | $891.25 |
Fallon Health Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $3,311.31 | Facility | None | $346.74 | $446.68 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $512.86 | Professional | None | $380.19 | $436.52 | $512.86 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $5,128.61 | Facility | None | $549.54 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $371.54 Median $691.83 Typical High $1,148.15 | Professional | None | $371.54 | $691.83 | $1,148.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $446.68 Median $1,288.25 Typical High $3,801.89 | Facility | None | $446.68 | $1,288.25 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $346.74 Median $794.33 Typical High $3,388.44 | Professional | None | $346.74 | $794.33 | $3,388.44 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,918.31 | Facility | None | $575.44 | $1,380.38 | $6,918.31 |
United Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $1,513.56 | Professional | None | $380.19 | $524.81 | $1,513.56 |
Well Sense Setting Facility Modifier None Typical Low $275.42 Median $489.78 Typical High $676.08 | Facility | None | $275.42 | $489.78 | $676.08 |
Well Sense Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
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 $208.93 Median $208.93 Typical High $549.54 | Professional | 52 · Reduced service | $208.93 | $208.93 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $218.78 | Professional | 53 · Discontinued | $83.18 | $83.18 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $831.76 | Professional | 54 · Surgery only | $316.23 | $316.23 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $165.96 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $109.65 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $776.25 |
Where Massachusetts sits
The same service costs 5.8 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· 13th of 51
$589
AK $1,349UT $234
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.