How much rates vary
Facilitymedian $214 · 10th to 90th $107 to $2,818Professionalmedian $251 · 10th to 90th $141 to $617
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | None | $141.25 | $141.25 | $181.97 |
AllWays Health Partners Setting Facility Modifier None Typical Low $104.71 Median $501.19 Typical High $2,818.38 | Facility | None | $104.71 | $501.19 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $1,148.15 | Professional | None | $141.25 | $281.84 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,000.00 | Facility | None | $676.08 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $380.19 | Professional | None | $190.55 | $190.55 | $380.19 |
Fallon Health Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $3,311.31 | Facility | None | $131.83 | $177.83 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $257.04 | Professional | None | $190.55 | $223.87 | $257.04 |
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 $154.88 Median $316.23 Typical High $446.68 | Professional | None | $154.88 | $316.23 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $104.71 Median $501.19 Typical High $2,818.38 | Facility | None | $104.71 | $501.19 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $1,148.15 | Professional | None | $141.25 | $281.84 | $1,148.15 |
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 $165.96 Median $229.09 Typical High $630.96 | Professional | None | $165.96 | $229.09 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $218.78 | Facility | None | $117.49 | $154.88 | $218.78 |
Well Sense Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
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 $138.04 Median $186.21 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $138.04 | $186.21 | $257.04 |
Where Massachusetts sits
The same service costs 12.0 times more in Utah than in Florida. 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
UT $3,137FL $261
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.