How much rates vary
Facilitymedian $447 · 10th to 90th $191 to $2,818Professionalmedian $537 · 10th to 90th $263 to $1,820
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 $1,318.26 Median $2,570.40 Typical High $6,760.83 | Facility | None | $1,318.26 | $2,570.40 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | None | $426.58 | $426.58 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $2,398.83 | Facility | None | $123.03 | $524.81 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $346.74 Median $851.14 Typical High $2,398.83 | Professional | None | $346.74 | $851.14 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $9,549.93 Typical High $21,877.62 | Facility | None | $676.08 | $9,549.93 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,096.48 | Professional | None | $691.83 | $691.83 | $1,096.48 |
Fallon Health Setting Facility Modifier None Typical Low $204.17 Median $398.11 Typical High $537.03 | Facility | None | $204.17 | $398.11 | $537.03 |
Fallon Health Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $524.81 | Professional | None | $204.17 | $363.08 | $524.81 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $398.11 Median $741.31 Typical High $1,096.48 | Professional | None | $398.11 | $741.31 | $1,096.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $2,398.83 | Facility | None | $123.03 | $524.81 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $346.74 Median $851.14 Typical High $2,398.83 | Professional | None | $346.74 | $851.14 | $2,398.83 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,778.28 | Professional | None | $478.63 | $691.83 | $1,778.28 |
Well Sense Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $575.44 | Facility | None | $281.84 | $389.05 | $575.44 |
Well Sense Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None | $302.00 | $302.00 | $363.08 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $204.17 | $346.74 | $346.74 |
Where Massachusetts sits
The same service costs 27.0 times more in Alabama than in Maryland. 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
AL $15,422MD $571
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.