How much rates vary
Facilitymedian $1,585 · 10th to 90th $407 to $3,548Professionalmedian $2,630 · 10th to 90th $1,349 to $18,621
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 $5,248.07 | Facility | None | $2,691.53 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,174.90 | $2,951.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,023.29 Typical High $3,630.78 | Facility | None | $346.74 | $1,023.29 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $3,467.37 Typical High $18,620.87 | Professional | None | $1,548.82 | $3,467.37 | $18,620.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,380.38 | $2,238.72 | $3,019.95 |
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 $2,630.27 Median $2,630.27 Typical High $4,677.35 | Professional | None | $2,630.27 | $2,630.27 | $4,677.35 |
Fallon Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,412.54 | $1,737.80 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,479.11 | $1,737.80 | $2,089.30 |
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 $1,548.82 Median $2,884.03 Typical High $4,897.79 | Professional | None | $1,548.82 | $2,884.03 | $4,897.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,023.29 Typical High $3,630.78 | Facility | None | $346.74 | $1,023.29 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,548.82 Median $3,467.37 Typical High $18,620.87 | Professional | None | $1,548.82 | $3,467.37 | $18,620.87 |
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 $2,041.74 Median $2,884.03 Typical High $7,762.47 | Professional | None | $2,041.74 | $2,884.03 | $7,762.47 |
Well Sense Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,737.80 | $2,630.27 |
Well Sense Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,380.38 | $1,659.59 |
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 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $3,715.35 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,479.11 Typical High $1,995.26 | Professional | 62 · Two surgeons | $1,148.15 | $1,479.11 | $1,995.26 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,905.46 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,905.46 | $2,511.89 |
Where Massachusetts sits
The same service costs 11.8 times more in Alabama than in Washington. 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
AL $28,159WA $2,380
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.