How much rates vary
Facilitymedian $661 · 10th to 90th $251 to $2,818Professionalmedian $933 · 10th to 90th $575 to $3,890
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 $575.44 Median $575.44 Typical High $1,698.24 | Professional | None | $575.44 | $575.44 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $2,818.38 | Facility | None | $131.83 | $524.81 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,318.26 Typical High $3,890.45 | Professional | None | $588.84 | $1,318.26 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Facility | None | $588.84 | $588.84 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,513.56 | Professional | None | $812.83 | $812.83 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $3,311.31 | Facility | None | $537.03 | $707.95 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $831.76 | Professional | None | $616.60 | $707.95 | $831.76 |
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 $616.60 Median $1,148.15 Typical High $1,698.24 | Professional | None | $616.60 | $1,148.15 | $1,698.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $2,818.38 | Facility | None | $131.83 | $524.81 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $588.84 Median $1,318.26 Typical High $3,890.45 | Professional | None | $588.84 | $1,318.26 | $3,890.45 |
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 $645.65 Median $912.01 Typical High $2,398.83 | Professional | None | $645.65 | $912.01 | $2,398.83 |
Well Sense Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $891.25 | Facility | None | $436.52 | $602.56 | $891.25 |
Well Sense Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | None | $446.68 | $446.68 | $602.56 |
5 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 $288.40 Median $288.40 Typical High $851.14 | Professional | 52 · Reduced service | $288.40 | $288.40 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $338.84 | Professional | 53 · Discontinued | $114.82 | $114.82 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $1,288.25 | Professional | 54 · Surgery only | $426.58 | $426.58 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $257.04 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $169.82 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $169.82 |
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· 13th of 51
$912
AK $2,399UT $490
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.