How much rates vary
Facilitymedian $977 · 10th to 90th $550 to $3,802Professionalmedian $1,175 · 10th to 90th $575 to $2,455
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $1,621.81 | Professional | None | $467.74 | $512.86 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $1,513.56 Typical High $5,754.40 | Facility | None | $457.09 | $1,513.56 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,513.56 Typical High $5,495.41 | Professional | None | $660.69 | $1,513.56 | $5,495.41 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $1,584.89 | Facility | None | $691.83 | $831.76 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,737.80 Typical High $2,187.76 | Facility | None | $645.65 | $1,737.80 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,737.80 | Professional | None | $707.95 | $794.33 | $1,737.80 |
Fallon Health Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $3,311.31 | Facility | None | $676.08 | $870.96 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,318.26 | Professional | None | $954.99 | $1,122.02 | $1,318.26 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $5,128.61 | Facility | None | $549.54 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $741.31 Median $1,513.56 Typical High $2,187.76 | Professional | None | $741.31 | $1,513.56 | $2,187.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $1,513.56 Typical High $5,754.40 | Facility | None | $457.09 | $1,513.56 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $660.69 Median $1,513.56 Typical High $5,495.41 | Professional | None | $660.69 | $1,513.56 | $5,495.41 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,918.31 | Facility | None | $575.44 | $1,380.38 | $6,918.31 |
United Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $2,187.76 | Professional | None | $660.69 | $954.99 | $2,187.76 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,096.48 | Facility | None | $524.81 | $691.83 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $588.84 | Professional | None | $457.09 | $501.19 | $588.84 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $363.08 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $323.59 | $363.08 | $1,148.15 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $5,661DE $1,425
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.