How much rates vary
Facilitymedian $2,239 · 10th to 90th $891 to $7,244Professionalmedian $1,622 · 10th to 90th $933 to $7,943
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 $2,884.03 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,445.44 | Professional | None | $912.01 | $912.01 | $1,445.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $2,818.38 Typical High $7,413.10 | Facility | None | $831.76 | $2,818.38 | $7,413.10 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,511.89 Typical High $7,943.28 | Professional | None | $1,047.13 | $2,511.89 | $7,943.28 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,000.00 | $1,659.59 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,090.30 Typical High $3,981.07 | Facility | None | $676.08 | $3,090.30 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,513.56 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $3,311.31 | Facility | None | $954.99 | $1,258.93 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,288.25 | $1,737.80 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $14,125.38 | Facility | None | $1,096.48 | $4,073.80 | $14,125.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,096.48 | $2,041.74 | $2,951.21 |
Health New England Setting Facility Modifier None Typical Low $1,905.46 Median $4,466.84 Typical High $8,128.31 | Facility | None | $1,905.46 | $4,466.84 | $8,128.31 |
Health New England Setting Professional Modifier None Typical Low $213.80 Median $1,862.09 Typical High $1,949.84 | Professional | None | $213.80 | $1,862.09 | $1,949.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $2,818.38 Typical High $7,413.10 | Facility | None | $831.76 | $2,818.38 | $7,413.10 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,511.89 Typical High $7,943.28 | Professional | None | $1,047.13 | $2,511.89 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $4,168.69 Typical High $15,135.61 | Facility | None | $1,258.93 | $4,168.69 | $15,135.61 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $3,715.35 | Professional | None | $1,000.00 | $1,348.96 | $3,715.35 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,584.89 | Facility | None | $776.25 | $1,230.27 | $1,584.89 |
Well Sense Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Professional | None | $676.08 | $676.08 | $912.01 |
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 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $912.01 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $275.42 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $275.42 | $363.08 |
BCBS Massachusetts Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $204.17 Typical High $295.12 | Professional | AS · PA/NP assist | $134.90 | $204.17 | $295.12 |
Where Massachusetts sits
The same service costs 4.4 times more in Oklahoma than in West Virginia. 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
OK $11,619WV $2,656
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.