How much rates vary
Facilitymedian $229 · 10th to 90th $30 to $676Professionalmedian $81 · 10th to 90th $32 to $1,202
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 $346.74 Typical High $537.03 | Facility | None | $32.36 | $346.74 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $512.86 | Professional | None | $32.36 | $32.36 | $512.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $676.08 | Facility | None | $173.78 | $281.84 | $676.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $1,202.26 | Professional | None | $33.11 | $89.13 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $288.40 Typical High $467.74 | Professional | None | $120.23 | $288.40 | $467.74 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $676.08 | Facility | None | $173.78 | $281.84 | $676.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $1,202.26 | Professional | None | $33.11 | $89.13 | $1,202.26 |
Tufts Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $173.78 | Professional | None | $109.65 | $165.96 | $173.78 |
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 $109.65 Median $144.54 Typical High $229.09 | Facility | None | $109.65 | $144.54 | $229.09 |
Well Sense Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None | $100.00 | $100.00 | $120.23 |
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 $288.40 Median $288.40 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $575.44 |