How much rates vary
Facilitymedian $832 · 10th to 90th $117 to $3,802Professionalmedian $50 · 10th to 90th $46 to $126
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 $1,000.00 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $125.89 | Professional | None | $45.71 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $9.12 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $34.67 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $6.92 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $12.59 | $12.59 |
AllWays Health Partners 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 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $831.76 Typical High $2,691.53 | Facility | None | $676.08 | $831.76 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | None | $50.12 | $50.12 | $114.82 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
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 |
Mass General Brigham 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 |
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 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,467.37 | $5,128.61 |
Well Sense Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $7,943.28 | Professional | None | $5,888.44 | $5,888.44 | $7,943.28 |
Where Massachusetts sits
The same service costs 16.6 times more in California 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· 33rd of 51
$126
CA $832TX $50.12
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.