How much rates vary
Facilitymedian $1,820 · 10th to 90th $646 to $16,982Professionalmedian $1,479 · 10th to 90th $741 to $6,607
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 $4,677.35 Typical High $8,709.64 | Facility | None | $2,691.53 | $4,677.35 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,148.15 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $5,888.44 Typical High $24,547.09 | Facility | None | $1,096.48 | $5,888.44 | $24,547.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $954.99 Median $2,398.83 Typical High $6,606.93 | Professional | None | $954.99 | $2,398.83 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $7,762.47 Typical High $21,877.62 | Facility | None | $50.12 | $7,762.47 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,019.95 | Professional | None | $1,949.84 | $1,949.84 | $3,019.95 |
Fallon Health Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $1,479.11 | Facility | None | $562.34 | $1,096.48 | $1,479.11 |
Fallon Health Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,479.11 | Professional | None | $575.44 | $1,023.29 | $1,479.11 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,584.89 Median $4,570.88 Typical High $16,982.44 | Facility | None | $1,584.89 | $4,570.88 | $16,982.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $4,897.79 | Professional | None | $1,096.48 | $2,137.96 | $4,897.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,096.48 Median $5,888.44 Typical High $24,547.09 | Facility | None | $1,096.48 | $5,888.44 | $24,547.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $954.99 Median $2,398.83 Typical High $6,606.93 | Professional | None | $954.99 | $2,398.83 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $4,897.79 Typical High $37,153.52 | Facility | None | $1,737.80 | $4,897.79 | $37,153.52 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $4,897.79 | Professional | None | $1,348.96 | $1,905.46 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,819.70 | Facility | None | $776.25 | $1,000.00 | $1,819.70 |
Well Sense Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | None | $831.76 | $831.76 | $1,000.00 |
5 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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Where Massachusetts sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.