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 $1,949.84 Median $3,235.94 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $3,715.35 | Professional | None | $812.83 | $812.83 | $3,715.35 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $3,235.94 Typical High $9,120.11 | Facility | None | $724.44 | $3,235.94 | $9,120.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $2,884.03 Typical High $12,882.50 | Professional | None | $1,148.15 | $2,884.03 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $4,897.79 Typical High $6,456.54 | Facility | None | $1,778.28 | $4,897.79 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,819.70 | $1,819.70 | $3,235.94 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $3,467.37 | Facility | None | $1,148.15 | $1,548.82 | $3,467.37 |
Fallon Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,513.56 | $1,819.70 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,348.96 Median $2,570.40 Typical High $5,248.07 | Professional | None | $1,348.96 | $2,570.40 | $5,248.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $3,235.94 Typical High $9,120.11 | Facility | None | $724.44 | $3,235.94 | $9,120.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,148.15 Median $2,884.03 Typical High $12,882.50 | Professional | None | $1,148.15 | $2,884.03 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $14,791.08 | Facility | None | $1,071.52 | $3,890.45 | $14,791.08 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $5,248.07 | Professional | None | $1,479.11 | $2,041.74 | $5,248.07 |
Well Sense Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,778.28 | Facility | None | $870.96 | $1,174.90 | $1,778.28 |
Well Sense Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | None | $977.24 | $977.24 | $1,148.15 |
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 $602.56 Median $602.56 Typical High $2,818.38 | Professional | 54 · Surgery only | $602.56 | $602.56 | $2,818.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $2,630.27 |
Where Massachusetts sits
The same service costs 5.4 times more in Wisconsin 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· 27th of 51
$2,042
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.