How much rates vary
Facilitymedian $148 · 10th to 90th $27 to $2,951Professionalmedian $81 · 10th to 90th $32 to $1,660
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 $489.78 Typical High $741.31 | Facility | None | $32.36 | $489.78 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $707.95 | Professional | None | $32.36 | $32.36 | $707.95 |
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 $1,659.59 | Professional | None | $33.11 | $89.13 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $436.52 Typical High $707.95 | Professional | None | $181.97 | $436.52 | $707.95 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $1,659.59 | Professional | None | $33.11 | $89.13 | $1,659.59 |
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 $131.83 Median $177.83 Typical High $275.42 | Facility | None | $131.83 | $177.83 | $275.42 |
Well Sense Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | None | $120.23 | $120.23 | $144.54 |
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 $398.11 Median $398.11 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $741.31 |