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 $1,000.00 Median $2,238.72 Typical High $3,715.35 | Facility | None | $1,000.00 | $2,238.72 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $1,000.00 Typical High $1,548.82 | Professional | None | $162.18 | $1,000.00 | $1,548.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $128.82 Median $549.54 Typical High $2,344.23 | Facility | None | $128.82 | $549.54 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $269.15 Median $1,584.89 Typical High $11,481.54 | Professional | None | $269.15 | $1,584.89 | $11,481.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $549.54 | Facility | None | $234.42 | $234.42 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,778.28 Typical High $2,691.53 | Facility | None | $831.76 | $1,778.28 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $1,023.29 Typical High $3,090.30 | Professional | None | $371.54 | $1,023.29 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $3,311.31 | Facility | None | $177.83 | $288.40 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $2,089.30 | Professional | None | $1,445.44 | $1,698.24 | $2,089.30 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $263.03 Median $1,202.26 Typical High $3,388.44 | Professional | None | $263.03 | $1,202.26 | $3,388.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $128.82 Median $549.54 Typical High $2,344.23 | Facility | None | $128.82 | $549.54 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $269.15 Median $1,584.89 Typical High $11,481.54 | Professional | None | $269.15 | $1,584.89 | $11,481.54 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $323.59 Median $1,230.27 Typical High $4,265.80 | Professional | None | $323.59 | $1,230.27 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $398.11 Typical High $1,513.56 | Facility | None | $204.17 | $398.11 | $1,513.56 |
Well Sense Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $1,258.93 | Professional | None | $199.53 | $239.88 | $1,258.93 |
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 $245.47 Median $316.23 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $245.47 | $316.23 | $426.58 |
Where Massachusetts sits
The same service costs 4.9 times more in Oregon than in Nebraska. 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· 35th of 51
$1,000
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.