How much rates vary
Facilitymedian $2,291 · 10th to 90th $871 to $19,055Professionalmedian $1,820 · 10th to 90th $1,096 to $7,943
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 $2,089.30 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,096.48 | $3,019.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $3,467.37 Typical High $19,498.45 | Facility | None | $691.83 | $3,467.37 | $19,498.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $7,943.28 | Professional | None | $1,148.15 | $2,818.38 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $26,915.35 Typical High $34,673.69 | Facility | None | $758.58 | $26,915.35 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,548.82 | $1,548.82 | $3,019.95 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $3,467.37 | Facility | None | $1,148.15 | $1,513.56 | $3,467.37 |
Fallon Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,513.56 | $1,778.28 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,288.25 | $2,344.23 | $3,548.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $3,467.37 Typical High $19,498.45 | Facility | None | $691.83 | $3,467.37 | $19,498.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $7,943.28 | Professional | None | $1,148.15 | $2,818.38 | $7,943.28 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $38,018.94 | Facility | None | $851.14 | $2,818.38 | $38,018.94 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $5,248.07 | Professional | None | $1,230.27 | $1,778.28 | $5,248.07 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,318.26 Typical High $10,000.00 | Facility | None | $891.25 | $1,318.26 | $10,000.00 |
Well Sense Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,000.00 | Professional | None | $741.31 | $741.31 | $1,000.00 |
3 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 $831.76 Median $831.76 Typical High $2,238.72 | Professional | 54 · Surgery only | $831.76 | $831.76 | $2,238.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $2,089.30 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,621.81 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $954.99 | $1,621.81 | $2,187.76 |
Where Massachusetts sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.