How much rates vary
Facilitymedian $295 · 10th to 90th $117 to $2,239Professionalmedian $372 · 10th to 90th $214 to $933
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 $549.54 Median $2,187.76 Typical High $3,630.78 | Facility | None | $549.54 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $426.58 | Professional | None | $213.80 | $239.88 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $107.15 Median $501.19 Typical High $1,862.09 | Facility | None | $107.15 | $501.19 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $218.78 Median $512.86 Typical High $1,862.09 | Professional | None | $218.78 | $512.86 | $1,862.09 |
BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $489.78 | Facility | None | $213.80 | $213.80 | $489.78 |
BCBS Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $501.19 | Professional | None | $213.80 | $288.40 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $257.04 Typical High $489.78 | Facility | None | $100.00 | $257.04 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $758.58 | Professional | None | $186.21 | $371.54 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $213.80 Median $281.84 Typical High $3,311.31 | Facility | None | $213.80 | $281.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $501.19 | Professional | None | $309.03 | $371.54 | $501.19 |
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 $245.47 Median $489.78 Typical High $741.31 | Professional | None | $245.47 | $489.78 | $741.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $107.15 Median $501.19 Typical High $1,862.09 | Facility | None | $107.15 | $501.19 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $218.78 Median $512.86 Typical High $1,862.09 | Professional | None | $218.78 | $512.86 | $1,862.09 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $812.83 | Professional | None | $234.42 | $331.13 | $812.83 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $371.54 | Facility | None | $107.15 | $213.80 | $371.54 |
Well Sense Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $199.53 | Professional | None | $151.36 | $165.96 | $199.53 |
7 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 $107.15 Median $120.23 Typical High $275.42 | Professional | 52 · Reduced service | $107.15 | $120.23 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $109.65 | Professional | 53 · Discontinued | $42.66 | $47.86 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $181.97 Typical High $416.87 | Professional | 54 · Surgery only | $162.18 | $181.97 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $36.31 Typical High $83.18 | Professional | 55 · Aftercare only | $32.36 | $36.31 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.99 Typical High $54.95 | Professional | 56 · Pre-op care only | $21.38 | $23.99 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $169.82 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $151.36 | $169.82 | $389.05 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $107.15 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $95.50 | $107.15 | $128.82 |
Where Massachusetts sits
The same service costs 4.3 times more in Alaska than in Florida. 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· 10th of 51
$372
AK $871FL $204
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.