How much rates vary
Facilitymedian $933 · 10th to 90th $69 to $3,802Professionalmedian $204 · 10th to 90th $48 to $661
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $17.38 | $17.38 | $17.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $1,023.29 Typical High $3,548.13 | Facility | None | $588.84 | $1,023.29 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $95.50 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $95.50 | $316.23 | $660.69 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $194.98 Typical High $426.58 | Professional | 26 · Professional part | $57.54 | $194.98 | $426.58 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $36.31 | $123.03 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $194.98 Typical High $707.95 | Facility | None | $50.12 | $194.98 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $204.17 | $204.17 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $128.82 | $128.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $70.79 | $74.13 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $58.88 Median $128.82 Typical High $2,951.21 | Facility | None | $58.88 | $128.82 | $2,951.21 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $58.88 | $109.65 | $199.53 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $102.33 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $102.33 | $234.42 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $151.36 Typical High $218.78 | Professional | 26 · Professional part | $67.61 | $151.36 | $218.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $85.11 | $123.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $1,023.29 Typical High $3,548.13 | Facility | None | $588.84 | $1,023.29 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $95.50 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $95.50 | $316.23 | $660.69 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $194.98 Typical High $426.58 | Professional | 26 · Professional part | $57.54 | $194.98 | $426.58 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $36.31 | $123.03 | $229.09 |
United Setting Facility Modifier None Typical Low $630.96 Median $1,698.24 Typical High $2,818.38 | Facility | None | $630.96 | $1,698.24 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $74.13 | $144.54 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $91.20 Typical High $194.98 | Professional | 26 · Professional part | $45.71 | $91.20 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $57.54 Typical High $123.03 | Professional | TC · Technical part | $30.90 | $57.54 | $123.03 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,630.78 | $4,897.79 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,019.95 |
2 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 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Where Massachusetts sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 4th of 51
$204
MN $275AL $63.10
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.