How much rates vary
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 $2,691.53 Median $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $3,090.30 | Professional | None | $870.96 | $870.96 | $3,090.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $977.24 Typical High $3,630.78 | Facility | None | $346.74 | $977.24 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $8,511.38 | Professional | None | $1,202.26 | $3,311.31 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $741.31 Typical High $1,000.00 | Facility | None | $50.12 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,801.89 | Professional | None | $1,949.84 | $1,949.84 | $3,801.89 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,659.59 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,659.59 | $2,041.74 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,380.38 | $2,511.89 | $3,890.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $977.24 Typical High $3,630.78 | Facility | None | $346.74 | $977.24 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $8,511.38 | Professional | None | $1,202.26 | $3,311.31 | $8,511.38 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $4,168.69 | Professional | None | $1,202.26 | $1,778.28 | $4,168.69 |
Well Sense Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,862.09 | Facility | None | $912.01 | $1,258.93 | $1,862.09 |
Well Sense Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | None | $812.83 | $812.83 | $977.24 |
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 $660.69 Median $660.69 Typical High $2,344.23 | Professional | 54 · Surgery only | $660.69 | $660.69 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $2,187.76 |
Where Massachusetts sits
The same service costs 6.8 times more in Alaska than in Texas. 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· 13th of 51
$1,905
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.