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 $1,174.90 Median $2,238.72 Typical High $3,715.35 | Facility | None | $1,174.90 | $2,238.72 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $1,174.90 Typical High $3,467.37 | Professional | None | $426.58 | $1,174.90 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $5,011.87 | Facility | None | $512.86 | $1,819.70 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $478.63 Median $1,479.11 Typical High $15,488.17 | Professional | None | $478.63 | $1,479.11 | $15,488.17 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $1,000.00 | Facility | None | $426.58 | $426.58 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $1,819.70 | Facility | None | $758.58 | $1,412.54 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,202.26 Typical High $2,187.76 | Professional | None | $501.19 | $1,202.26 | $2,187.76 |
Fallon Health Setting Facility Modifier None Typical Low $407.38 Median $501.19 Typical High $1,071.52 | Facility | None | $407.38 | $501.19 | $1,071.52 |
Fallon Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,445.44 | $1,949.84 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $436.52 Median $1,122.02 Typical High $2,754.23 | Professional | None | $436.52 | $1,122.02 | $2,754.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $5,011.87 | Facility | None | $512.86 | $1,819.70 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $478.63 Median $1,479.11 Typical High $15,488.17 | Professional | None | $478.63 | $1,479.11 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $436.52 Median $1,148.15 Typical High $4,265.80 | Professional | None | $436.52 | $1,148.15 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $1,258.93 | Facility | None | $354.81 | $707.95 | $1,258.93 |
Well Sense Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $2,884.03 | Professional | None | $302.00 | $446.68 | $2,884.03 |
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 $323.59 Median $891.25 Typical High $2,630.27 | Professional | 54 · Surgery only | $323.59 | $891.25 | $2,630.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $831.76 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $302.00 | $831.76 | $2,454.71 |
Where Massachusetts sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 12th 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.