How much rates vary
Facilitymedian $200 · 10th to 90th $27 to $2,951Professionalmedian $89 · 10th to 90th $32 to $1,905
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 $562.34 Typical High $851.14 | Facility | None | $32.36 | $562.34 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $794.33 | Professional | None | $32.36 | $32.36 | $794.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $1,905.46 | Professional | None | $33.11 | $89.13 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $501.19 Typical High $812.83 | Professional | None | $208.93 | $501.19 | $812.83 |
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 $812.83 Median $1,905.46 Typical High $3,311.31 | Professional | None | $812.83 | $1,905.46 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $1,905.46 | Professional | None | $33.11 | $89.13 | $1,905.46 |
Tufts Setting Professional Modifier None Typical Low $97.72 Median $181.97 Typical High $331.13 | Professional | None | $97.72 | $181.97 | $331.13 |
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 $173.78 Median $239.88 Typical High $371.54 | Facility | None | $173.78 | $239.88 | $371.54 |
Well Sense Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None | $158.49 | $158.49 | $190.55 |
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 53 · Discontinued + 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $851.14 | Professional | 53 · Discontinued + 78 · Unplanned return to OR | $457.09 | $457.09 | $851.14 |