How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,096 to $7,079Professionalmedian $2,399 · 10th to 90th $1,202 to $9,772
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 $3,467.37 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,467.37 | $8,709.64 |
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 $954.99 Median $3,467.37 Typical High $9,549.93 | Facility | None | $954.99 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $3,981.07 Typical High $9,772.37 | Professional | None | $1,348.96 | $3,981.07 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $3,981.07 Typical High $5,754.40 | Facility | None | $1,318.26 | $3,981.07 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,265.80 | Professional | None | $1,819.70 | $1,819.70 | $4,265.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,445.44 | $1,862.09 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,862.09 | $2,290.87 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,548.82 | $2,884.03 | $4,786.30 |
Health New England Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $9,549.93 | Facility | None | $954.99 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,348.96 Median $3,981.07 Typical High $9,772.37 | Professional | None | $1,348.96 | $3,981.07 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $4,786.30 | Professional | None | $1,513.56 | $2,187.76 | $4,786.30 |
Well Sense Setting Facility Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,398.83 | Facility | None | $1,202.26 | $1,621.81 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,230.27 | Professional | None | $1,023.29 | $1,023.29 | $1,230.27 |
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 $1,995.26 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $794.33 | Professional | 53 · Discontinued | $239.88 | $239.88 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $3,019.95 | Professional | 54 · Surgery only | $912.01 | $912.01 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $602.56 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $398.11 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $2,818.38 |
Where Massachusetts sits
The same service costs 3.1 times more in Alaska than in Delaware. 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
AK $12,999DE $4,240
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.