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 $977.24 Median $2,818.38 Typical High $5,248.07 | Facility | None | $977.24 | $2,818.38 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $645.65 | Professional | None | $208.93 | $316.23 | $645.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $1,584.89 Typical High $5,248.07 | Facility | None | $512.86 | $1,584.89 | $5,248.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $2,290.87 | Professional | None | $251.19 | $524.81 | $2,290.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $537.03 | Facility | None | $234.42 | $234.42 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $954.99 | Facility | None | $245.47 | $346.74 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $758.58 | Professional | None | $295.12 | $416.87 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $3,311.31 | Facility | None | $234.42 | $302.00 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $524.81 | Professional | None | $389.05 | $457.09 | $524.81 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $263.03 Median $524.81 Typical High $933.25 | Professional | None | $263.03 | $524.81 | $933.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $1,584.89 Typical High $5,248.07 | Facility | None | $512.86 | $1,584.89 | $5,248.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $2,290.87 | Professional | None | $251.19 | $524.81 | $2,290.87 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $7,244.36 | Facility | None | $851.14 | $2,818.38 | $7,244.36 |
United Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $1,000.00 | Professional | None | $281.84 | $446.68 | $1,000.00 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $389.05 | Facility | None | $165.96 | $251.19 | $389.05 |
Well Sense Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $295.12 | Professional | None | $165.96 | $223.87 | $295.12 |
1 more rate 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 78 · Unplanned return to OR Typical Low $147.91 Median $218.78 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $147.91 | $218.78 | $457.09 |
Where Massachusetts sits
The same service costs 5.0 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· 9th of 51
$468
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.