How much rates vary
Facilitymedian $1,862 · 10th to 90th $891 to $7,079Professionalmedian $2,089 · 10th to 90th $1,230 to $8,710
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 $2,691.53 Median $3,090.30 Typical High $5,128.61 | Facility | None | $2,691.53 | $3,090.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,238.72 | Professional | None | $1,230.27 | $1,230.27 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $7,244.36 | Facility | None | $724.44 | $2,691.53 | $7,244.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $3,311.31 Typical High $8,709.64 | Professional | None | $1,348.96 | $3,311.31 | $8,709.64 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,995.26 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $741.31 Typical High $1,000.00 | Facility | None | $50.12 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,659.59 | $1,995.26 | $3,090.30 |
Fallon Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $3,467.37 | Facility | None | $1,258.93 | $1,659.59 | $3,467.37 |
Fallon Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,698.24 | $2,290.87 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $3,801.89 | Professional | None | $1,445.44 | $2,691.53 | $3,801.89 |
Health New England Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Health New England Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $7,244.36 | Facility | None | $724.44 | $2,691.53 | $7,244.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,348.96 Median $3,311.31 Typical High $8,709.64 | Professional | None | $1,348.96 | $3,311.31 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $9,332.54 | Facility | None | $1,071.52 | $3,890.45 | $9,332.54 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $4,897.79 | Professional | None | $1,348.96 | $1,778.28 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,905.46 | Facility | None | $933.25 | $1,288.25 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
3 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 $933.25 Median $933.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,202.26 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $208.93 Median $363.08 Typical High $478.63 | Professional | 82 · Assistant surgeon, no resident | $208.93 | $363.08 | $478.63 |
Where Massachusetts sits
The same service costs 14.3 times more in Maine than in Delaware. 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
ME $48,433DE $3,397
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.