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 $2,089.30 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $3,630.78 Typical High $9,772.37 | Facility | None | $1,174.90 | $3,630.78 | $9,772.37 |
AllWays Health Partners Setting Professional Modifier None Typical Low $537.03 Median $1,737.80 Typical High $3,715.35 | Professional | None | $537.03 | $1,737.80 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $7,762.47 Typical High $10,000.00 | Facility | None | $1,778.28 | $7,762.47 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,513.56 | Professional | None | $954.99 | $1,047.13 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $660.69 Median $1,122.02 Typical High $5,888.44 | Facility | None | $660.69 | $1,122.02 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
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 $575.44 Median $1,148.15 Typical High $1,698.24 | Professional | None | $575.44 | $1,148.15 | $1,698.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,174.90 Median $3,630.78 Typical High $9,772.37 | Facility | None | $1,174.90 | $3,630.78 | $9,772.37 |
Mass General Brigham Setting Professional Modifier None Typical Low $537.03 Median $1,737.80 Typical High $3,715.35 | Professional | None | $537.03 | $1,737.80 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $15,848.93 | Facility | None | $1,071.52 | $3,467.37 | $15,848.93 |
United Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $2,089.30 | Professional | None | $478.63 | $776.25 | $2,089.30 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,630.78 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,412.54 | $1,905.46 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $288.40 |
Where Massachusetts sits
The same service costs 5.9 times more in Alaska 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· 9th of 51
$1,175
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.