How much rates vary
Facilitymedian $1,380 · 10th to 90th $407 to $3,548Professionalmedian $1,950 · 10th to 90th $1,202 to $11,220
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 $2,691.53 Median $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $3,388.44 | Professional | None | $1,202.26 | $1,202.26 | $3,388.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $954.99 Typical High $3,630.78 | Facility | None | $346.74 | $954.99 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $3,019.95 Typical High $11,220.18 | Professional | None | $1,174.90 | $3,019.95 | $11,220.18 |
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 $1,737.80 Median $1,737.80 Typical High $3,235.94 | Professional | None | $1,737.80 | $1,737.80 | $3,235.94 |
Fallon Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $3,311.31 | Facility | None | $1,258.93 | $1,584.89 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,621.81 | $1,905.46 |
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 $1,348.96 Median $2,511.89 Typical High $3,715.35 | Professional | None | $1,348.96 | $2,511.89 | $3,715.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $954.99 Typical High $3,630.78 | Facility | None | $346.74 | $954.99 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $3,019.95 Typical High $11,220.18 | Professional | None | $1,174.90 | $3,019.95 | $11,220.18 |
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 $1,318.26 Median $1,905.46 Typical High $5,623.41 | Professional | None | $1,318.26 | $1,905.46 | $5,623.41 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,949.84 | Facility | None | $933.25 | $1,288.25 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,148.15 | Professional | None | $851.14 | $851.14 | $1,148.15 |
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 $602.56 Median $602.56 Typical High $1,698.24 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $676.08 | Professional | 53 · Discontinued | $239.88 | $239.88 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $2,570.40 | Professional | 54 · Surgery only | $912.01 | $912.01 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $512.86 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $338.84 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $2,398.83 |
Where Massachusetts sits
The same service costs 6.5 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· 14th of 51
$1,905
AK $5,012TX $776
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.