How much rates vary
Facilitymedian $2,344 · 10th to 90th $955 to $7,079Professionalmedian $1,698 · 10th to 90th $912 to $8,913
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 $3,388.44 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,659.59 | Professional | None | $912.01 | $912.01 | $1,659.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $3,090.30 Typical High $9,549.93 | Facility | None | $954.99 | $3,090.30 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $8,912.51 | Professional | None | $1,000.00 | $2,818.38 | $8,912.51 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $1,318.26 Median $1,318.26 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,318.26 | $3,162.28 |
Fallon Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $3,311.31 | Facility | None | $1,023.29 | $1,288.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,288.25 | $1,584.89 |
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 $1,096.48 Median $2,041.74 Typical High $3,548.13 | Professional | None | $1,096.48 | $2,041.74 | $3,548.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $3,090.30 Typical High $9,549.93 | Facility | None | $954.99 | $3,090.30 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $8,912.51 | Professional | None | $1,000.00 | $2,818.38 | $8,912.51 |
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 $1,122.02 Median $1,548.82 Typical High $3,548.13 | Professional | None | $1,122.02 | $1,548.82 | $3,548.13 |
Well Sense Setting Facility Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,905.46 | Facility | None | $851.14 | $1,202.26 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None | $776.25 | $776.25 | $933.25 |
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 $457.09 Median $457.09 Typical High $1,513.56 | Professional | 52 · Reduced service | $457.09 | $457.09 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $602.56 | Professional | 53 · Discontinued | $181.97 | $181.97 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $2,238.72 | Professional | 54 · Surgery only | $676.08 | $676.08 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $446.68 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $302.00 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $2,089.30 |
Where Massachusetts sits
The same service costs 3.6 times more in Alaska than in Montana. 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 $11,248MT $3,134
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.