How much rates vary
Facilitymedian $2,291 · 10th to 90th $912 to $7,079Professionalmedian $1,622 · 10th to 90th $794 to $7,413
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 $794.33 Median $794.33 Typical High $2,630.27 | Professional | None | $794.33 | $794.33 | $2,630.27 |
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 $912.01 Median $2,570.40 Typical High $7,413.10 | Professional | None | $912.01 | $2,570.40 | $7,413.10 |
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 $1,174.90 Median $1,174.90 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,174.90 | $2,818.38 |
Fallon Health Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $3,311.31 | Facility | None | $912.01 | $1,202.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,174.90 | $1,445.44 |
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 $1,000.00 Median $1,819.70 Typical High $3,162.28 | Professional | None | $1,000.00 | $1,819.70 | $3,162.28 |
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 $912.01 Median $2,570.40 Typical High $7,413.10 | Professional | None | $912.01 | $2,570.40 | $7,413.10 |
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 $977.24 Median $1,412.54 Typical High $3,162.28 | Professional | None | $977.24 | $1,412.54 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,905.46 | Facility | None | $776.25 | $1,202.26 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $812.83 | Professional | None | $676.08 | $676.08 | $812.83 |
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 $398.11 Median $398.11 Typical High $1,318.26 | Professional | 52 · Reduced service | $398.11 | $398.11 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $524.81 | Professional | 53 · Discontinued | $158.49 | $158.49 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $1,995.26 | Professional | 54 · Surgery only | $602.56 | $602.56 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $398.11 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $263.03 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $1,862.09 |
Where Massachusetts sits
The same service costs 7.2 times more in Alaska than in Texas. 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
$1,738
AK $3,715TX $513
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.