How much rates vary
Facilitymedian $1,622 · 10th to 90th $759 to $5,754Professionalmedian $1,950 · 10th to 90th $1,047 to $7,079
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 $2,089.30 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,754.23 | Professional | None | $1,047.13 | $1,047.13 | $2,754.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,344.23 Typical High $5,888.44 | Facility | None | $575.44 | $2,344.23 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $2,630.27 Typical High $7,079.46 | Professional | None | $1,148.15 | $2,630.27 | $7,079.46 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,412.54 | Professional | None | $691.83 | $691.83 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,659.59 Typical High $2,454.71 | Facility | None | $676.08 | $1,659.59 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $3,801.89 | Professional | None | $891.25 | $1,659.59 | $3,801.89 |
Fallon Health Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,380.38 | $1,862.09 |
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 $1,122.02 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,122.02 | $2,187.76 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,344.23 Typical High $5,888.44 | Facility | None | $575.44 | $2,344.23 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,148.15 Median $2,630.27 Typical High $7,079.46 | Professional | None | $1,148.15 | $2,630.27 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,000.00 | Facility | None | $1,071.52 | $3,467.37 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $3,981.07 | Professional | None | $1,071.52 | $1,479.11 | $3,981.07 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $954.99 Typical High $1,621.81 | Facility | None | $691.83 | $954.99 | $1,621.81 |
Well Sense Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | None | $707.95 | $707.95 | $851.14 |
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 $524.81 Median $524.81 Typical High $1,348.96 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $549.54 | Professional | 53 · Discontinued | $208.93 | $208.93 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $2,041.74 | Professional | 54 · Surgery only | $794.33 | $794.33 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $407.38 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $275.42 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $1,905.46 |
Where Massachusetts sits
The same service costs 7.6 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· 12th of 51
$1,905
AK $4,365UT $575
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.