How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $1,862.09 | Professional | None | $371.54 | $512.86 | $1,862.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $457.09 Typical High $2,041.74 | Facility | None | $131.83 | $457.09 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $724.44 | Professional | None | $147.91 | $199.53 | $724.44 |
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 $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Health New England Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $457.09 Typical High $2,041.74 | Facility | None | $131.83 | $457.09 | $2,041.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $724.44 | Professional | None | $147.91 | $199.53 | $724.44 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
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 78 · Unplanned return to OR Typical Low $1,995.26 Median $1,995.26 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,995.26 | $1,995.26 | $2,691.53 |
Where Massachusetts sits
The same service costs 102.3 times more in Pennsylvania than in Hawaii. 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· 23rd of 51
$724
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.