How much rates vary
Facilitymedian $324 · 10th to 90th $141 to $2,570Professionalmedian $479 · 10th to 90th $186 to $1,288
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 $537.03 Median $2,187.76 Typical High $3,630.78 | Facility | None | $537.03 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $691.83 | Professional | None | $147.91 | $302.00 | $691.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $125.89 Median $501.19 Typical High $2,344.23 | Facility | None | $125.89 | $501.19 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $208.93 Median $537.03 Typical High $3,019.95 | Professional | None | $208.93 | $537.03 | $3,019.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $389.05 | Facility | None | $169.82 | $204.17 | $389.05 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $169.82 Median $478.63 Typical High $831.76 | Professional | None | $169.82 | $478.63 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $831.76 | Facility | None | $446.68 | $630.96 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $478.63 Typical High $954.99 | Professional | None | $204.17 | $478.63 | $954.99 |
Fallon Health Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $3,311.31 | Facility | None | $169.82 | $213.80 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $724.44 | Professional | None | $512.86 | $602.56 | $724.44 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $223.87 Median $489.78 Typical High $1,148.15 | Professional | None | $223.87 | $489.78 | $1,148.15 |
Health New England Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,659.59 | Facility | None | $549.54 | $660.69 | $1,659.59 |
Health New England Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $7,585.78 | Professional | None | $660.69 | $741.31 | $7,585.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $125.89 Median $501.19 Typical High $2,344.23 | Facility | None | $125.89 | $501.19 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $208.93 Median $537.03 Typical High $3,019.95 | Professional | None | $208.93 | $537.03 | $3,019.95 |
Tufts Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $776.25 | Professional | None | $323.59 | $467.74 | $776.25 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $223.87 Median $501.19 Typical High $1,174.90 | Professional | None | $223.87 | $501.19 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $288.40 Typical High $501.19 | Facility | None | $162.18 | $288.40 | $501.19 |
Well Sense Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $363.08 | Professional | None | $147.91 | $177.83 | $363.08 |
2 more rates 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 54 · Surgery only Typical Low $112.20 Median $223.87 Typical High $398.11 | Professional | 54 · Surgery only | $112.20 | $223.87 | $398.11 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $229.09 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $134.90 | $229.09 | $309.03 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Maryland. 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.
Massachusetts· 8th of 51
$479
AK $955MD $251
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.