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 $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,000.00 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,890.45 | Facility | None | $346.74 | $1,047.13 | $3,890.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $14,454.40 | Professional | None | $1,513.56 | $3,715.35 | $14,454.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $3,388.44 | Professional | None | $1,584.89 | $2,511.89 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $741.31 Typical High $1,000.00 | Facility | None | $50.12 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,073.80 | Professional | None | $2,344.23 | $2,344.23 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $3,311.31 | Facility | None | $1,584.89 | $1,949.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,659.59 | $1,949.84 | $2,344.23 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,737.80 Median $3,162.28 Typical High $4,786.30 | Professional | None | $1,737.80 | $3,162.28 | $4,786.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $3,890.45 | Facility | None | $346.74 | $1,047.13 | $3,890.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $14,454.40 | Professional | None | $1,513.56 | $3,715.35 | $14,454.40 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $6,606.93 | Professional | None | $1,698.24 | $2,454.71 | $6,606.93 |
Well Sense Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,513.56 | $2,238.72 |
Well Sense Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,174.90 | $1,412.54 |
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 $758.58 Median $758.58 Typical High $3,467.37 | Professional | 54 · Surgery only | $758.58 | $758.58 | $3,467.37 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $3,235.94 |
Where Massachusetts sits
The same service costs 5.9 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· 20th of 51
$2,291
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.