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 $2,818.38 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $870.96 | Professional | None | $537.03 | $537.03 | $870.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $794.33 Median $1,995.26 Typical High $5,495.41 | Professional | None | $794.33 | $1,995.26 | $5,495.41 |
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 $1,230.27 Median $1,230.27 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,230.27 | $2,187.76 |
Fallon Health Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $3,311.31 | Facility | None | $831.76 | $1,023.29 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,230.27 | Professional | None | $851.14 | $1,023.29 | $1,230.27 |
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 $912.01 Median $1,778.28 Typical High $2,511.89 | Professional | None | $912.01 | $1,778.28 | $2,511.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $3,548.13 | Facility | None | $346.74 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $794.33 Median $1,995.26 Typical High $5,495.41 | Professional | None | $794.33 | $1,995.26 | $5,495.41 |
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 $1,096.48 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,096.48 | $1,819.70 | $3,548.13 |
Well Sense Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $1,202.26 | Facility | None | $588.84 | $812.83 | $1,202.26 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $407.38 Median $407.38 Typical High $645.65 | Professional | 54 · Surgery only | $407.38 | $407.38 | $645.65 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,122.02 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $851.14 | $1,122.02 | $1,479.11 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in New York. 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· 27th of 51
$1,202
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.