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 $1,862.09 Median $1,862.09 Typical High $5,888.44 | Professional | None | $1,862.09 | $1,862.09 | $5,888.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $19,498.45 | Facility | None | $831.76 | $4,265.80 | $19,498.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $5,370.32 Typical High $16,595.87 | Professional | None | $2,041.74 | $5,370.32 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,754.40 Typical High $7,079.46 | Facility | None | $741.31 | $5,754.40 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $5,888.44 | Professional | None | $2,951.21 | $2,951.21 | $5,888.44 |
Fallon Health Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $4,265.80 | Facility | None | $2,398.83 | $3,019.95 | $4,265.80 |
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 $2,511.89 Median $4,897.79 Typical High $7,244.36 | Professional | None | $2,511.89 | $4,897.79 | $7,244.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $19,498.45 | Facility | None | $831.76 | $4,265.80 | $19,498.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,041.74 Median $5,370.32 Typical High $16,595.87 | Professional | None | $2,041.74 | $5,370.32 | $16,595.87 |
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 $1,995.26 Median $3,311.31 Typical High $10,000.00 | Professional | None | $1,995.26 | $3,311.31 | $10,000.00 |
Well Sense Setting Facility Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,467.37 | Facility | None | $1,659.59 | $2,238.72 | $3,467.37 |
Well Sense Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
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 $1,412.54 Median $1,412.54 Typical High $4,466.84 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $4,466.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $4,168.69 |
Where Massachusetts sits
The same service costs 9.1 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· 15th of 51
$3,548
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.