How much rates vary
Facilitymedian $1,413 · 10th to 90th $603 to $4,677Professionalmedian $1,622 · 10th to 90th $955 to $7,244
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $446.68 Median $1,778.28 Typical High $5,011.87 | Facility | None | $446.68 | $1,778.28 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $7,244.36 | Professional | None | $1,047.13 | $2,570.40 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,041.74 Typical High $2,511.89 | Facility | None | $758.58 | $2,041.74 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $3,090.30 | Professional | None | $1,348.96 | $1,348.96 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,047.13 | $1,380.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,380.38 | $1,698.24 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,202.26 | $2,187.76 | $3,630.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $446.68 Median $1,778.28 Typical High $5,011.87 | Facility | None | $446.68 | $1,778.28 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $7,244.36 | Professional | None | $1,047.13 | $2,570.40 | $7,244.36 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $8,709.64 | Facility | None | $575.44 | $1,380.38 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $4,466.84 | Professional | None | $1,202.26 | $1,659.59 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,584.89 | Facility | None | $776.25 | $977.24 | $1,584.89 |
Well Sense Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | None | $758.58 | $758.58 | $912.01 |
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 $707.95 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $741.31 |
Where Massachusetts sits
The same service costs 3.4 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 $7,428KY $2,193
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.