How much rates vary
Facilitymedian $2,042 · 10th to 90th $933 to $5,888Professionalmedian $2,399 · 10th to 90th $1,202 to $10,965
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 $3,162.28 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $3,162.28 | Professional | None | $1,202.26 | $1,202.26 | $3,162.28 |
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 $1,380.38 Median $3,388.44 Typical High $10,964.78 | Professional | None | $1,380.38 | $3,388.44 | $10,964.78 |
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 $2,951.21 Typical High $4,168.69 | Facility | None | $954.99 | $2,951.21 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $4,786.30 | Professional | None | $1,096.48 | $2,041.74 | $4,786.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,230.27 | $1,698.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,737.80 | $2,398.83 |
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 $1,412.54 Median $2,754.23 Typical High $3,890.45 | Professional | None | $1,412.54 | $2,754.23 | $3,890.45 |
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 $1,380.38 Median $3,388.44 Typical High $10,964.78 | Professional | None | $1,380.38 | $3,388.44 | $10,964.78 |
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 $1,258.93 Median $1,737.80 Typical High $4,786.30 | Professional | None | $1,258.93 | $1,737.80 | $4,786.30 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,202.26 | $2,041.74 |
Well Sense Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | None | $831.76 | $831.76 | $1,000.00 |
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 $602.56 Median $602.56 Typical High $1,584.89 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $630.96 | Professional | 53 · Discontinued | $239.88 | $239.88 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $2,398.83 | Professional | 54 · Surgery only | $912.01 | $912.01 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $478.63 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $2,238.72 |
Where Massachusetts sits
The same service costs 7.1 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· 13th of 51
$2,291
AK $5,370UT $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.