How much rates vary
Facilitymedian $1,660 · 10th to 90th $501 to $6,166Professionalmedian $724 · 10th to 90th $417 to $3,162
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 $380.19 Median $380.19 Typical High $602.56 | Professional | None | $380.19 | $380.19 | $602.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $2,344.23 Typical High $6,606.93 | Facility | None | $1,023.29 | $2,344.23 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $467.74 Median $1,071.52 Typical High $3,162.28 | Professional | None | $467.74 | $1,071.52 | $3,162.28 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $489.78 Median $724.44 Typical High $1,096.48 | Professional | None | $489.78 | $724.44 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,511.89 Typical High $3,090.30 | Facility | None | $676.08 | $2,511.89 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,380.38 | Professional | None | $724.44 | $724.44 | $1,380.38 |
Fallon Health Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $3,311.31 | Facility | None | $478.63 | $616.60 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $741.31 | Professional | None | $512.86 | $602.56 | $741.31 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,548.82 | Professional | None | $524.81 | $954.99 | $1,548.82 |
Health New England Setting Facility Modifier None Typical Low $3,388.44 Median $3,890.45 Typical High $4,073.80 | Facility | None | $3,388.44 | $3,890.45 | $4,073.80 |
Health New England Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,023.29 Median $2,344.23 Typical High $6,606.93 | Facility | None | $1,023.29 | $2,344.23 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $467.74 Median $1,071.52 Typical High $3,162.28 | Professional | None | $467.74 | $1,071.52 | $3,162.28 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $10,471.29 | Facility | None | $851.14 | $2,818.38 | $10,471.29 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,548.82 | Professional | None | $524.81 | $691.83 | $1,548.82 |
Well Sense Setting Facility Modifier None Typical Low $363.08 Median $660.69 Typical High $1,096.48 | Facility | None | $363.08 | $660.69 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | None | $346.74 | $346.74 | $416.87 |
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 80 · Assistant surgeon Typical Low $77.62 Median $131.83 Typical High $204.17 | Professional | 80 · Assistant surgeon | $77.62 | $131.83 | $204.17 |
Where Massachusetts sits
The same service costs 5.4 times more in Wisconsin than in Kentucky. 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
WI $7,004KY $1,288
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.