How much rates vary
Facilitymedian $2,239 · 10th to 90th $794 to $7,586Professionalmedian $2,138 · 10th to 90th $1,413 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 $1,862.09 Median $3,019.95 Typical High $4,677.35 | Facility | None | $1,862.09 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,801.89 | Professional | None | $1,412.54 | $1,412.54 | $3,801.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $9,549.93 | Facility | None | $588.84 | $3,388.44 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $3,235.94 Typical High $11,220.18 | Professional | None | $1,380.38 | $3,235.94 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,248.07 Typical High $7,943.28 | Facility | None | $676.08 | $5,248.07 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,905.46 | $1,905.46 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,698.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,778.28 | $2,041.74 |
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 $1,479.11 Median $2,754.23 Typical High $4,570.88 | Professional | None | $1,479.11 | $2,754.23 | $4,570.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $9,549.93 | Facility | None | $588.84 | $3,388.44 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,380.38 Median $3,235.94 Typical High $11,220.18 | Professional | None | $1,380.38 | $3,235.94 | $11,220.18 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $14,125.38 | Facility | None | $1,071.52 | $3,467.37 | $14,125.38 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $5,754.40 | Professional | None | $1,445.44 | $2,089.30 | $5,754.40 |
Well Sense Setting Facility Modifier None Typical Low $870.96 Median $1,513.56 Typical High $2,290.87 | Facility | None | $870.96 | $1,513.56 | $2,290.87 |
Well Sense Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
7 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 $707.95 Median $707.95 Typical High $1,905.46 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $776.25 | Professional | 53 · Discontinued | $288.40 | $288.40 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $575.44 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $380.19 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $2,691.53 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $218.78 Median $380.19 Typical High $501.19 | Professional | 82 · Assistant surgeon, no resident | $218.78 | $380.19 | $501.19 |
Where Massachusetts sits
The same service costs 7.2 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· 18th of 51
$2,138
AK $5,495TX $759
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.