How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,000 to $8,318Professionalmedian $3,631 · 10th to 90th $2,291 to $19,055
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 $3,388.44 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,388.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $6,456.54 | Professional | None | $2,137.96 | $2,137.96 | $6,456.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $14,454.40 | Facility | None | $831.76 | $4,265.80 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $5,623.41 Typical High $19,054.61 | Professional | None | $2,344.23 | $5,623.41 | $19,054.61 |
BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $5,248.07 | Professional | None | $2,454.71 | $2,454.71 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,623.41 Typical High $7,079.46 | Facility | None | $676.08 | $5,623.41 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $6,165.95 | Professional | None | $3,090.30 | $3,090.30 | $6,165.95 |
Fallon Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $3,630.78 | Facility | None | $2,398.83 | $2,951.21 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $3,630.78 | Professional | None | $2,691.53 | $3,090.30 | $3,630.78 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $6,918.31 | Professional | None | $2,691.53 | $4,897.79 | $6,918.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $14,454.40 | Facility | None | $831.76 | $4,265.80 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,344.23 Median $5,623.41 Typical High $19,054.61 | Professional | None | $2,344.23 | $5,623.41 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,595.87 | Facility | None | $1,071.52 | $3,890.45 | $16,595.87 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $10,715.19 | Professional | None | $2,511.89 | $3,630.78 | $10,715.19 |
Well Sense Setting Facility Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $3,630.78 | Facility | None | $1,778.28 | $2,398.83 | $3,630.78 |
Well Sense Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,698.24 | $1,698.24 | $2,290.87 |
5 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 $1,621.81 Median $1,621.81 Typical High $4,897.79 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $4,897.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $4,570.88 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $4,570.88 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,513.56 Median $2,630.27 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,513.56 | $2,630.27 | $3,467.37 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $3,311.31 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $1,949.84 | $3,311.31 | $4,466.84 |
BCBS Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $389.05 Median $660.69 Typical High $891.25 | Professional | 82 · Assistant surgeon, no resident | $389.05 | $660.69 | $891.25 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $4,915
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.