How much rates vary
Facilitymedian $2,692 · 10th to 90th $708 to $18,197Professionalmedian $1,549 · 10th to 90th $776 to $9,333
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 $1,023.29 Median $1,023.29 Typical High $3,467.37 | Professional | None | $1,023.29 | $1,023.29 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $870.96 Median $3,890.45 Typical High $15,488.17 | Facility | None | $870.96 | $3,890.45 | $15,488.17 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $2,570.40 Typical High $9,332.54 | Professional | None | $1,023.29 | $2,570.40 | $9,332.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15,135.61 Median $17,378.01 Typical High $23,442.29 | Facility | None | $15,135.61 | $17,378.01 | $23,442.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $3,981.07 | Professional | None | $2,398.83 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $9,549.93 Typical High $21,877.62 | Facility | None | $1,995.26 | $9,549.93 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,995.26 | $1,995.26 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,548.82 | Facility | None | $588.84 | $1,071.52 | $1,548.82 |
Fallon Health Setting Professional Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,548.82 | Professional | None | $602.56 | $1,071.52 | $1,548.82 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,174.90 Median $2,238.72 Typical High $5,011.87 | Professional | None | $1,174.90 | $2,238.72 | $5,011.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $870.96 Median $3,890.45 Typical High $15,488.17 | Facility | None | $870.96 | $3,890.45 | $15,488.17 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,023.29 Median $2,570.40 Typical High $9,332.54 | Professional | None | $1,023.29 | $2,570.40 | $9,332.54 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,982.44 | Facility | None | $1,071.52 | $3,890.45 | $16,982.44 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $5,011.87 | Professional | None | $1,230.27 | $1,778.28 | $5,011.87 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,621.81 | Facility | None | $776.25 | $1,071.52 | $1,621.81 |
Well Sense Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | None | $812.83 | $812.83 | $977.24 |
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 $512.86 Median $512.86 Typical High $1,737.80 | Professional | 52 · Reduced service | $512.86 | $512.86 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $691.83 | Professional | 53 · Discontinued | $204.17 | $204.17 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $2,570.40 | Professional | 54 · Surgery only | $758.58 | $758.58 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $512.86 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $346.74 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $2,398.83 |
Where Massachusetts sits
The same service costs 8.9 times more in Oklahoma 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· 31st of 51
$1,622
OK $7,762TX $871
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.