How much rates vary
Facilitymedian $1,479 · 10th to 90th $575 to $3,802Professionalmedian $1,950 · 10th to 90th $1,023 to $10,000
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 $2,511.89 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,511.89 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $2,511.89 | Professional | None | $933.25 | $933.25 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $1,288.25 Typical High $3,801.89 | Facility | None | $489.78 | $1,288.25 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $2,951.21 Typical High $10,000.00 | Professional | None | $1,071.52 | $2,951.21 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,380.38 Typical High $1,819.70 | Facility | None | $741.31 | $1,380.38 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,090.30 | Professional | None | $1,659.59 | $1,659.59 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,174.90 | $1,621.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,698.24 | $1,995.26 |
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 $1,318.26 Median $2,630.27 Typical High $3,801.89 | Professional | None | $1,318.26 | $2,630.27 | $3,801.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $1,288.25 Typical High $3,801.89 | Facility | None | $489.78 | $1,288.25 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,071.52 Median $2,951.21 Typical High $10,000.00 | Professional | None | $1,071.52 | $2,951.21 | $10,000.00 |
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 $1,122.02 Median $1,737.80 Typical High $5,248.07 | Professional | None | $1,122.02 | $1,737.80 | $5,248.07 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,819.70 | Facility | None | $891.25 | $1,202.26 | $1,819.70 |
Well Sense Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $812.83 | Professional | None | $602.56 | $602.56 | $812.83 |
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 $467.74 Median $467.74 Typical High $1,258.93 | Professional | 52 · Reduced service | $467.74 | $467.74 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $501.19 | Professional | 53 · Discontinued | $186.21 | $186.21 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $1,862.09 | Professional | 54 · Surgery only | $707.95 | $707.95 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $371.54 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $251.19 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $1,737.80 |
Where Massachusetts sits
The same service costs 5.8 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· 13th of 51
$1,862
AK $4,898TX $851
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.