How much rates vary
Facilitymedian $1,514 · 10th to 90th $692 to $5,012Professionalmedian $1,148 · 10th to 90th $724 to $3,311
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 $676.08 Median $676.08 Typical High $870.96 | Professional | None | $676.08 | $676.08 | $870.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $1,778.28 Typical High $5,011.87 | Facility | None | $512.86 | $1,778.28 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $5,011.87 | Professional | None | $776.25 | $1,548.82 | $5,011.87 |
BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Professional | None | $776.25 | $776.25 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,187.76 Typical High $2,691.53 | Facility | None | $758.58 | $2,187.76 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
Fallon Health Setting Facility Modifier None Typical Low $741.31 Median $977.24 Typical High $3,311.31 | Facility | None | $741.31 | $977.24 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,148.15 | Professional | None | $851.14 | $1,000.00 | $1,148.15 |
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 $831.76 Median $1,548.82 Typical High $2,290.87 | Professional | None | $831.76 | $1,548.82 | $2,290.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $1,778.28 Typical High $5,011.87 | Facility | None | $512.86 | $1,778.28 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $5,011.87 | Professional | None | $776.25 | $1,548.82 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $3,311.31 | Professional | None | $831.76 | $1,148.15 | $3,311.31 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,174.90 | Facility | None | $549.54 | $851.14 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | None | $549.54 | $549.54 | $741.31 |
4 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 $512.86 Median $512.86 Typical High $630.96 | Professional | 54 · Surgery only | $512.86 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $588.84 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $1,047.13 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $616.60 | $1,047.13 | $1,412.54 |
BCBS Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $208.93 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $208.93 | $281.84 |
Where Massachusetts sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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
WI $7,315MD $2,090
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.