How much rates vary
Facilitymedian $603 · 10th to 90th $309 to $3,548Professionalmedian $631 · 10th to 90th $389 to $2,754
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $478.63 | Professional | None | $295.12 | $295.12 | $478.63 |
AllWays Health Partners Setting Facility Modifier None Typical Low $309.03 Median $794.33 Typical High $3,630.78 | Facility | None | $309.03 | $794.33 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $398.11 Median $977.24 Typical High $2,754.23 | Professional | None | $398.11 | $977.24 | $2,754.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $891.25 | Professional | None | $416.87 | $676.08 | $891.25 |
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 $630.96 Median $630.96 Typical High $1,122.02 | Professional | None | $630.96 | $630.96 | $1,122.02 |
Fallon Health Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $3,311.31 | Facility | None | $416.87 | $512.86 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $616.60 | Professional | None | $436.52 | $512.86 | $616.60 |
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 $457.09 Median $831.76 Typical High $1,258.93 | Professional | None | $457.09 | $831.76 | $1,258.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $309.03 Median $794.33 Typical High $3,630.78 | Facility | None | $309.03 | $794.33 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $398.11 Median $977.24 Typical High $2,754.23 | Professional | None | $398.11 | $977.24 | $2,754.23 |
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 $501.19 Median $676.08 Typical High $1,819.70 | Professional | None | $501.19 | $676.08 | $1,819.70 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $616.60 | Facility | None | $331.13 | $436.52 | $616.60 |
Well Sense Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | None | $331.13 | $331.13 | $398.11 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $562.34 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $436.52 | $562.34 | $758.58 |
Where Massachusetts sits
The same service costs 7.2 times more in Maine 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
ME $7,377MD $1,030
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.