How much rates vary
Facilitymedian $977 · 10th to 90th $490 to $3,715Professionalmedian $1,175 · 10th to 90th $589 to $4,467
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 $1,995.26 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,995.26 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,995.26 | Professional | None | $588.84 | $588.84 | $1,995.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,630.78 | Facility | None | $489.78 | $1,258.93 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,862.09 Typical High $4,466.84 | Professional | None | $660.69 | $1,862.09 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,288.25 | Facility | None | $676.08 | $1,000.00 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $2,041.74 | Professional | None | $851.14 | $851.14 | $2,041.74 |
Fallon Health Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $3,311.31 | Facility | None | $660.69 | $851.14 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,047.13 | Professional | None | $724.44 | $851.14 | $1,047.13 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $575.44 Median $1,318.26 Typical High $5,128.61 | Facility | None | $575.44 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $724.44 Median $1,318.26 Typical High $2,290.87 | Professional | None | $724.44 | $1,318.26 | $2,290.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,630.78 | Facility | None | $489.78 | $1,258.93 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $660.69 Median $1,862.09 Typical High $4,466.84 | Professional | None | $660.69 | $1,862.09 | $4,466.84 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,380.38 Typical High $6,165.95 | Facility | None | $602.56 | $1,380.38 | $6,165.95 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $2,344.23 | Professional | None | $758.58 | $1,023.29 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $1,023.29 | Facility | None | $457.09 | $645.65 | $1,023.29 |
Well Sense Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | None | $512.86 | $512.86 | $616.60 |
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 $295.12 Median $295.12 Typical High $1,000.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $398.11 | Professional | 53 · Discontinued | $120.23 | $120.23 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $1,479.11 | Professional | 54 · Surgery only | $446.68 | $446.68 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $302.00 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $199.53 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $1,380.38 |
Where Massachusetts sits
The same service costs 5.9 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
$1,096
AK $2,692UT $457
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.