How much rates vary
Facilitymedian $2,089 · 10th to 90th $912 to $5,888Professionalmedian $2,512 · 10th to 90th $1,259 to $11,482
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 $2,691.53 Median $3,311.31 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,311.31 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,311.31 | Professional | None | $1,258.93 | $1,258.93 | $3,311.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $6,456.54 | Facility | None | $691.83 | $2,290.87 | $6,456.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $3,548.13 Typical High $11,481.54 | Professional | None | $1,412.54 | $3,548.13 | $11,481.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,187.76 | Professional | None | $977.24 | $977.24 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,290.87 Typical High $3,388.44 | Facility | None | $954.99 | $2,290.87 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $4,897.79 | Professional | None | $1,122.02 | $2,137.96 | $4,897.79 |
Fallon Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,258.93 | $1,737.80 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,513.56 | $1,819.70 | $2,454.71 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $4,073.80 | Professional | None | $1,479.11 | $2,884.03 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $6,456.54 | Facility | None | $691.83 | $2,290.87 | $6,456.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,412.54 Median $3,548.13 Typical High $11,481.54 | Professional | None | $1,412.54 | $3,548.13 | $11,481.54 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $10,471.29 | Facility | None | $851.14 | $2,818.38 | $10,471.29 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $4,897.79 | Professional | None | $1,318.26 | $1,819.70 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,258.93 | $2,089.30 |
Well Sense Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None | $851.14 | $851.14 | $1,023.29 |
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 $630.96 Median $630.96 Typical High $1,659.59 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $660.69 | Professional | 53 · Discontinued | $251.19 | $251.19 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $2,454.71 | Professional | 54 · Surgery only | $933.25 | $933.25 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $331.13 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $2,290.87 |
Where Massachusetts sits
The same service costs 7.4 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
$2,344
AK $5,623UT $759
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.