How much rates vary
Facilitymedian $1,479 · 10th to 90th $537 to $5,888Professionalmedian $851 · 10th to 90th $513 to $6,918
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 $2,570.40 Median $3,090.30 Typical High $6,309.57 | Facility | None | $2,570.40 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,348.96 | Professional | None | $512.86 | $512.86 | $1,348.96 |
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 $562.34 Median $1,148.15 Typical High $6,918.31 | Professional | None | $562.34 | $1,148.15 | $6,918.31 |
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 $446.68 Median $776.25 Typical High $1,778.28 | Professional | None | $446.68 | $776.25 | $1,778.28 |
Fallon Health Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $3,311.31 | Facility | None | $478.63 | $630.96 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $851.14 | Professional | None | $524.81 | $630.96 | $851.14 |
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 $512.86 Median $977.24 Typical High $1,445.44 | Professional | None | $512.86 | $977.24 | $1,445.44 |
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 $562.34 Median $1,148.15 Typical High $6,918.31 | Professional | None | $562.34 | $1,148.15 | $6,918.31 |
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 $524.81 Median $691.83 Typical High $1,737.80 | Professional | None | $524.81 | $691.83 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $1,148.15 | Facility | None | $416.87 | $660.69 | $1,148.15 |
Well Sense Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | None | $346.74 | $346.74 | $416.87 |
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 $251.19 Median $251.19 Typical High $676.08 | Professional | 52 · Reduced service | $251.19 | $251.19 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $269.15 | Professional | 53 · Discontinued | $102.33 | $102.33 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $1,000.00 | Professional | 54 · Surgery only | $380.19 | $380.19 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $199.53 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $134.90 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $933.25 |
Where Massachusetts sits
The same service costs 7.9 times more in Wyoming 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· 17th of 51
$891
WY $2,399UT $302
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.