How much rates vary
Facilitymedian $603 · 10th to 90th $295 to $3,548Professionalmedian $676 · 10th to 90th $380 to $2,455
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 $380.19 Median $380.19 Typical High $977.24 | Professional | None | $380.19 | $380.19 | $977.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $776.25 Typical High $3,548.13 | Facility | None | $269.15 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $416.87 Median $912.01 Typical High $2,454.71 | Professional | None | $416.87 | $912.01 | $2,454.71 |
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 $323.59 Median $575.44 Typical High $1,318.26 | Professional | None | $323.59 | $575.44 | $1,318.26 |
Fallon Health Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $3,311.31 | Facility | None | $363.08 | $457.09 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $645.65 | Professional | None | $398.11 | $478.63 | $645.65 |
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 $389.05 Median $741.31 Typical High $1,071.52 | Professional | None | $389.05 | $741.31 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $776.25 Typical High $3,548.13 | Facility | None | $269.15 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $416.87 Median $912.01 Typical High $2,454.71 | Professional | None | $416.87 | $912.01 | $2,454.71 |
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 $380.19 Median $537.03 Typical High $1,412.54 | Professional | None | $380.19 | $537.03 | $1,412.54 |
Well Sense Setting Facility Modifier None Typical Low $281.84 Median $380.19 Typical High $588.84 | Facility | None | $281.84 | $380.19 | $588.84 |
Well Sense Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None | $257.04 | $257.04 | $309.03 |
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 $190.55 Median $190.55 Typical High $489.78 | Professional | 52 · Reduced service | $190.55 | $190.55 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $194.98 | Professional | 53 · Discontinued | $75.86 | $75.86 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $741.31 | Professional | 54 · Surgery only | $288.40 | $288.40 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $147.91 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $97.72 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $691.83 |
Where Massachusetts sits
The same service costs 6.9 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· 11th of 51
$661
AK $1,514UT $219
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.