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 $1,548.82 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 $660.69 Median $660.69 Typical High $977.24 | Professional | None | $660.69 | $660.69 | $977.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $3,467.37 Typical High $9,549.93 | Facility | None | $338.84 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $707.95 Median $1,819.70 Typical High $4,570.88 | Professional | None | $707.95 | $1,819.70 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,754.40 Typical High $7,413.10 | Facility | None | $676.08 | $5,754.40 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | None | $870.96 | $870.96 | $1,659.59 |
Fallon Health Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $3,311.31 | Facility | None | $707.95 | $891.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,258.93 | Professional | None | $794.33 | $933.25 | $1,258.93 |
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 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $741.31 Median $1,412.54 Typical High $2,089.30 | Professional | None | $741.31 | $1,412.54 | $2,089.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $3,467.37 Typical High $9,549.93 | Facility | None | $338.84 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $707.95 Median $1,819.70 Typical High $4,570.88 | Professional | None | $707.95 | $1,819.70 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $2,754.23 | Professional | None | $691.83 | $933.25 | $2,754.23 |
Well Sense Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $2,089.30 | Facility | None | $512.86 | $776.25 | $2,089.30 |
Well Sense Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $616.60 | Professional | None | $457.09 | $457.09 | $616.60 |
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 $489.78 Median $489.78 Typical High $741.31 | Professional | 54 · Surgery only | $489.78 | $489.78 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $676.08 |
Where Massachusetts sits
The same service costs 24.0 times more in Alaska 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· 11th of 51
$1,202
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.