How much rates vary
Facilitymedian $1,950 · 10th to 90th $759 to $6,918Professionalmedian $1,738 · 10th to 90th $1,175 to $7,762
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 $1,174.90 Median $1,174.90 Typical High $3,090.30 | Professional | None | $1,174.90 | $1,174.90 | $3,090.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $3,090.30 Typical High $9,549.93 | Facility | None | $588.84 | $3,090.30 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $2,691.53 Typical High $7,762.47 | Professional | None | $1,122.02 | $2,691.53 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,754.23 Typical High $4,168.69 | Facility | None | $588.84 | $2,754.23 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,584.89 | $1,584.89 | $2,884.03 |
Fallon Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,023.29 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,445.44 | $1,698.24 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,230.27 | $2,238.72 | $3,715.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $3,090.30 Typical High $9,549.93 | Facility | None | $588.84 | $3,090.30 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,122.02 Median $2,691.53 Typical High $7,762.47 | Professional | None | $1,122.02 | $2,691.53 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,964.78 | Facility | None | $1,071.52 | $3,467.37 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $4,677.35 | Professional | None | $1,202.26 | $1,737.80 | $4,677.35 |
Well Sense Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,949.84 | Facility | None | $851.14 | $1,258.93 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,071.52 | Professional | None | $794.33 | $794.33 | $1,071.52 |
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 $588.84 Median $588.84 Typical High $1,548.82 | Professional | 52 · Reduced service | $588.84 | $588.84 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $616.60 | Professional | 53 · Discontinued | $234.42 | $234.42 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $2,344.23 | Professional | 54 · Surgery only | $891.25 | $891.25 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $467.74 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $309.03 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $2,187.76 |
Where Massachusetts sits
The same service costs 6.2 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· 17th of 51
$1,738
AK $4,571UT $741
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.