How much rates vary
Facilitymedian $1,549 · 10th to 90th $447 to $6,310Professionalmedian $2,455 · 10th to 90th $468 to $9,120
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 $1,949.84 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $2,238.72 | Professional | None | $380.19 | $660.69 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $7,943.28 | Facility | None | $954.99 | $2,818.38 | $7,943.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $512.86 Median $2,570.40 Typical High $15,488.17 | Professional | None | $512.86 | $2,570.40 | $15,488.17 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $1,047.13 | Facility | None | $446.68 | $446.68 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,691.53 | Professional | None | $2,630.27 | $2,630.27 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,370.32 Typical High $6,918.31 | Facility | None | $676.08 | $5,370.32 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,819.70 Typical High $5,623.41 | Professional | None | $426.58 | $1,819.70 | $5,623.41 |
Fallon Health Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $3,311.31 | Facility | None | $436.52 | $575.44 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,630.27 | $3,311.31 | $4,466.84 |
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 $562.34 Median $2,137.96 Typical High $6,165.95 | Professional | None | $562.34 | $2,137.96 | $6,165.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $7,943.28 | Facility | None | $954.99 | $2,818.38 | $7,943.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $512.86 Median $2,570.40 Typical High $15,488.17 | Professional | None | $512.86 | $2,570.40 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $12,589.25 | Facility | None | $1,071.52 | $3,467.37 | $12,589.25 |
United Setting Professional Modifier None Typical Low $562.34 Median $1,778.28 Typical High $6,309.57 | Professional | None | $562.34 | $1,778.28 | $6,309.57 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $1,548.82 Typical High $2,691.53 | Facility | None | $398.11 | $1,548.82 | $2,691.53 |
Well Sense Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $1,698.24 | Professional | None | $331.13 | $446.68 | $1,698.24 |
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 $309.03 Typical High $1,122.02 | Professional | 52 · Reduced service | $190.55 | $309.03 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $123.03 Typical High $446.68 | Professional | 53 · Discontinued | $75.86 | $123.03 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $467.74 Typical High $1,698.24 | Professional | 54 · Surgery only | $288.40 | $467.74 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $93.33 Typical High $338.84 | Professional | 55 · Aftercare only | $57.54 | $93.33 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $61.66 Typical High $223.87 | Professional | 56 · Pre-op care only | $38.02 | $61.66 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $436.52 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $269.15 | $436.52 | $1,584.89 |
Where Massachusetts sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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
$2,291
AK $4,898KY $501
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.