How much rates vary
Facilitymedian $912 · 10th to 90th $30 to $3,162Professionalmedian $81 · 10th to 90th $32 to $2,630
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 $32.36 Median $776.25 Typical High $1,174.90 | Facility | None | $32.36 | $776.25 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $1,122.02 | Professional | None | $32.36 | $32.36 | $1,122.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $3,162.28 | Facility | None | $812.83 | $1,318.26 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $2,630.27 | Professional | None | $33.11 | $89.13 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $724.44 Typical High $1,174.90 | Professional | None | $302.00 | $724.44 | $1,174.90 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $5,888.44 | Facility | None | $21.38 | $30.20 | $5,888.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $112.20 | Professional | None | $44.67 | $64.57 | $112.20 |
Health New England Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $3,162.28 | Facility | None | $812.83 | $1,318.26 | $3,162.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $2,630.27 | Professional | None | $33.11 | $89.13 | $2,630.27 |
United Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $112.20 | Professional | None | $46.77 | $64.57 | $112.20 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $524.81 | Facility | None | $239.88 | $331.13 | $524.81 |
Well Sense Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $1,258.93 |