How much rates vary
Facilitymedian $1,096 · 10th to 90th $468 to $4,266Professionalmedian $661 · 10th to 90th $417 to $1,905
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 $2,089.30 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $645.65 | Professional | None | $389.05 | $389.05 | $645.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $1,348.96 Typical High $3,981.07 | Facility | None | $489.78 | $1,348.96 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $436.52 Median $912.01 Typical High $2,951.21 | Professional | None | $436.52 | $912.01 | $2,951.21 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $977.24 | Professional | None | $457.09 | $457.09 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,511.89 | Facility | None | $758.58 | $1,380.38 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,122.02 | Professional | None | $562.34 | $562.34 | $1,122.02 |
Fallon Health Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $3,311.31 | Facility | None | $436.52 | $575.44 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $676.08 | Professional | None | $501.19 | $588.84 | $676.08 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $1,348.96 | Professional | None | $489.78 | $891.25 | $1,348.96 |
Health New England Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $1,348.96 Typical High $3,981.07 | Facility | None | $489.78 | $1,348.96 | $3,981.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $436.52 Median $912.01 Typical High $2,951.21 | Professional | None | $436.52 | $912.01 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $6,456.54 | Facility | None | $1,047.13 | $2,344.23 | $6,456.54 |
United Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $1,905.46 | Professional | None | $478.63 | $676.08 | $1,905.46 |
Well Sense Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $691.83 | Facility | None | $316.23 | $478.63 | $691.83 |
Well Sense Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | None | $316.23 | $316.23 | $426.58 |
3 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 $295.12 Median $295.12 Typical High $354.81 | Professional | 54 · Surgery only | $295.12 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $331.13 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $100.00 Typical High $177.83 | Professional | AS · PA/NP assist | $70.79 | $100.00 | $177.83 |
Where Massachusetts sits
The same service costs 4.1 times more in Colorado than in West Virginia. 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
CO $5,160WV $1,245
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.