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 $2,187.76 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,187.76 | $3,019.95 | $4,677.35 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,174.90 | $3,467.37 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $446.68 Typical High $954.99 | Facility | None | $50.12 | $446.68 | $954.99 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,311.31 Typical High $7,079.46 | Facility | None | $83.18 | $3,311.31 | $7,079.46 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,174.90 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,174.90 | $3,467.37 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,803.84 | Facility | None | $1,071.52 | $3,467.37 | $13,803.84 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,754.40 | Facility | None | $2,511.89 | $3,467.37 | $5,754.40 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Professional Modifier 58 · Staged procedure + 76 · Repeat, same provider + 78 · Unplanned return to OR Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Professional | 58 · Staged procedure + 76 · Repeat, same provider + 78 · Unplanned return to OR | $1,995.26 | $1,995.26 | $2,398.83 |
Where Massachusetts sits
The same service costs 138.0 times more in Alaska than in Montana. 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
$3,467
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.