How much rates vary
Facilitymedian $3,715 · 10th to 90th $708 to $8,128Professionalmedian $851 · 10th to 90th $646 to $1,995
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $2,570.40 Median $3,715.35 Typical High $7,244.36 | Facility | Global | $2,570.40 | $3,715.35 | $7,244.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier Global Typical Low $660.69 Median $758.58 Typical High $2,089.30 | Professional | Global | $660.69 | $758.58 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $112.20 Typical High $158.49 | Professional | 55 · Aftercare only | $100.00 | $112.20 | $158.49 |
AllWays Health Partners Setting Facility Modifier Global Typical Low $56.23 Median $3,981.07 Typical High $15,488.17 | Facility | Global | $56.23 | $3,981.07 | $15,488.17 |
AllWays Health Partners Setting Facility Modifier 53 · Discontinued Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | 53 · Discontinued | $4,466.84 | $4,466.84 | $4,466.84 |
AllWays Health Partners Setting Facility Modifier 54 · Surgery only Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | 54 · Surgery only | $15,848.93 | $15,848.93 | $15,848.93 |
AllWays Health Partners Setting Facility Modifier 55 · Aftercare only Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | 55 · Aftercare only | $3,388.44 | $3,388.44 | $3,388.44 |
AllWays Health Partners Setting Professional Modifier Global Typical Low $575.44 Median $977.24 Typical High $2,238.72 | Professional | Global | $575.44 | $977.24 | $2,238.72 |
BCBS Setting Professional Modifier Global Typical Low $1,047.13 Median $1,380.38 Typical High $1,819.70 | Professional | Global | $1,047.13 | $1,380.38 | $1,819.70 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $275.42 Typical High $363.08 | Professional | 55 · Aftercare only | $208.93 | $275.42 | $363.08 |
Cigna Setting Facility Modifier Global Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | Global | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier Global Typical Low $630.96 Median $1,202.26 Typical High $2,238.72 | Professional | Global | $630.96 | $1,202.26 | $2,238.72 |
Fallon Health Setting Facility Modifier Global Typical Low $602.56 Median $851.14 Typical High $3,630.78 | Facility | Global | $602.56 | $851.14 | $3,630.78 |
Fallon Health Setting Professional Modifier Global Typical Low $660.69 Median $776.25 Typical High $1,000.00 | Professional | Global | $660.69 | $776.25 | $1,000.00 |
Harvard Pilgrim Setting Facility Modifier Global Typical Low $2,511.89 Median $6,165.95 Typical High $13,182.57 | Facility | Global | $2,511.89 | $6,165.95 | $13,182.57 |
Harvard Pilgrim Setting Professional Modifier Global Typical Low $602.56 Median $977.24 Typical High $1,819.70 | Professional | Global | $602.56 | $977.24 | $1,819.70 |
Health New England Setting Facility Modifier Global Typical Low $3,630.78 Median $3,715.35 Typical High $3,715.35 | Facility | Global | $3,630.78 | $3,715.35 | $3,715.35 |
Health New England Setting Professional Modifier Global Typical Low $190.55 Median $954.99 Typical High $1,096.48 | Professional | Global | $190.55 | $954.99 | $1,096.48 |
Mass General Brigham Setting Facility Modifier Global Typical Low $56.23 Median $3,981.07 Typical High $15,488.17 | Facility | Global | $56.23 | $3,981.07 | $15,488.17 |
Mass General Brigham Setting Facility Modifier 53 · Discontinued Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | 53 · Discontinued | $4,466.84 | $4,466.84 | $4,466.84 |
Mass General Brigham Setting Facility Modifier 54 · Surgery only Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | 54 · Surgery only | $15,848.93 | $15,848.93 | $15,848.93 |
Mass General Brigham Setting Facility Modifier 55 · Aftercare only Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | 55 · Aftercare only | $3,388.44 | $3,388.44 | $3,388.44 |
Mass General Brigham Setting Professional Modifier Global Typical Low $575.44 Median $977.24 Typical High $2,238.72 | Professional | Global | $575.44 | $977.24 | $2,238.72 |
United Setting Facility Modifier Global Typical Low $2,344.23 Median $6,165.95 Typical High $13,803.84 | Facility | Global | $2,344.23 | $6,165.95 | $13,803.84 |
United Setting Professional Modifier Global Typical Low $691.83 Median $1,202.26 Typical High $2,344.23 | Professional | Global | $691.83 | $1,202.26 | $2,344.23 |
Where Massachusetts sits
The same service costs 10.7 times more in New Mexico than in West Virginia. 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.
Physician feeFacility fee
NM $14,445WV $1,352
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.