How much rates vary
Facilitymedian $490 · 10th to 90th $251 to $2,818Professionalmedian $575 · 10th to 90th $380 to $2,570
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 $1,071.52 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,071.52 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,071.52 | Professional | None | $389.05 | $389.05 | $1,071.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $2,398.83 | Facility | None | $131.83 | $524.81 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $371.54 Median $812.83 Typical High $2,570.40 | Professional | None | $371.54 | $812.83 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $831.76 | Facility | None | $446.68 | $446.68 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $912.01 | Professional | None | $489.78 | $489.78 | $912.01 |
Fallon Health Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $3,311.31 | Facility | None | $338.84 | $436.52 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $501.19 | Professional | None | $380.19 | $436.52 | $501.19 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,047.13 | Professional | None | $380.19 | $691.83 | $1,047.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $2,398.83 | Facility | None | $131.83 | $524.81 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $371.54 Median $812.83 Typical High $2,570.40 | Professional | None | $371.54 | $812.83 | $2,570.40 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $1,584.89 | Professional | None | $398.11 | $549.54 | $1,584.89 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $794.33 | Facility | None | $263.03 | $363.08 | $794.33 |
Well Sense Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | None | $269.15 | $269.15 | $363.08 |
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 $194.98 Median $194.98 Typical High $537.03 | Professional | 52 · Reduced service | $194.98 | $194.98 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $213.80 | Professional | 53 · Discontinued | $77.62 | $77.62 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $812.83 | Professional | 54 · Surgery only | $295.12 | $295.12 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $162.18 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $107.15 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $107.15 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $70.79 Typical High $104.71 | Professional | AS · PA/NP assist | $52.48 | $70.79 | $104.71 |
Where Massachusetts sits
The same service costs 4.9 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· 14th of 51
$562
AK $1,445UT $295
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.