How much rates vary
Facilitymedian $1,288 · 10th to 90th $407 to $3,548Professionalmedian $1,698 · 10th to 90th $1,072 to $9,550
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 $2,344.23 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,344.23 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,344.23 | Professional | None | $1,096.48 | $1,096.48 | $2,344.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $3,548.13 | Facility | None | $346.74 | $912.01 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $912.01 Median $2,454.71 Typical High $9,549.93 | Professional | None | $912.01 | $2,454.71 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $954.99 Typical High $1,380.38 | Facility | None | $50.12 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,513.56 | $1,513.56 | $2,818.38 |
Fallon Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,202.26 | $1,513.56 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,548.82 | $1,819.70 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $3,467.37 | Professional | None | $1,202.26 | $2,398.83 | $3,467.37 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $3,548.13 | Facility | None | $346.74 | $912.01 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $912.01 Median $2,454.71 Typical High $9,549.93 | Professional | None | $912.01 | $2,454.71 | $9,549.93 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $4,897.79 | Professional | None | $1,047.13 | $1,584.89 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,659.59 | Facility | None | $812.83 | $1,096.48 | $1,659.59 |
Well Sense Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
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 $549.54 Median $549.54 Typical High $1,174.90 | Professional | 52 · Reduced service | $549.54 | $549.54 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $467.74 | Professional | 53 · Discontinued | $218.78 | $218.78 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $1,778.28 | Professional | 54 · Surgery only | $831.76 | $831.76 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $354.81 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $234.42 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $1,659.59 |
Where Massachusetts sits
The same service costs 21.9 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
$1,698
AK $4,467TX $204
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.