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 $3,630.78 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,630.78 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $5,495.41 | Professional | None | $1,737.80 | $1,737.80 | $5,495.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $6,760.83 Typical High $25,118.86 | Facility | None | $954.99 | $6,760.83 | $25,118.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $5,495.41 Typical High $15,848.93 | Professional | None | $2,398.83 | $5,495.41 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $17,782.79 Typical High $22,387.21 | Facility | None | $676.08 | $17,782.79 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $5,888.44 | Professional | None | $3,019.95 | $3,019.95 | $5,888.44 |
Fallon Health Setting Facility Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $4,265.80 | Facility | None | $2,454.71 | $3,019.95 | $4,265.80 |
Fallon Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,754.23 | $3,162.28 | $3,630.78 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $14,125.38 | Facility | None | $1,096.48 | $4,073.80 | $14,125.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,691.53 Median $5,011.87 Typical High $7,413.10 | Professional | None | $2,691.53 | $5,011.87 | $7,413.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $6,760.83 Typical High $25,118.86 | Facility | None | $954.99 | $6,760.83 | $25,118.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,398.83 Median $5,495.41 Typical High $15,848.93 | Professional | None | $2,398.83 | $5,495.41 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $4,073.80 Typical High $33,884.42 | Facility | None | $1,258.93 | $4,073.80 | $33,884.42 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,311.31 Typical High $10,232.93 | Professional | None | $2,238.72 | $3,311.31 | $10,232.93 |
Well Sense Setting Facility Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $3,467.37 | Facility | None | $1,698.24 | $2,290.87 | $3,467.37 |
Well Sense Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
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 $1,288.25 Median $1,288.25 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $4,168.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $3,890.45 |
Where Massachusetts sits
The same service costs 8.1 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· 14th of 51
$3,631
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.