How much rates vary
Facilitymedian $1,259 · 10th to 90th $407 to $3,548Professionalmedian $1,820 · 10th to 90th $1,072 to $8,318
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 $2,951.21 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,951.21 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,570.40 | Professional | None | $1,071.52 | $1,071.52 | $2,570.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $3,548.13 | Facility | None | $346.74 | $851.14 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,884.03 Typical High $8,317.64 | Professional | None | $1,202.26 | $2,884.03 | $8,317.64 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,513.56 | $2,454.71 |
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 $1,445.44 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,445.44 | $1,737.80 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $3,311.31 | Facility | None | $1,148.15 | $1,445.44 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,258.93 | $1,479.11 | $1,995.26 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,230.27 | $2,344.23 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $3,548.13 | Facility | None | $346.74 | $851.14 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,202.26 Median $2,884.03 Typical High $8,317.64 | Professional | None | $1,202.26 | $2,884.03 | $8,317.64 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $4,265.80 | Professional | None | $1,122.02 | $1,513.56 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,659.59 | Facility | None | $812.83 | $1,096.48 | $1,659.59 |
Well Sense Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | None | $776.25 | $776.25 | $1,047.13 |
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 $758.58 Median $758.58 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,584.89 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $912.01 | $1,584.89 | $2,089.30 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $316.23 Typical High $416.87 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $316.23 | $416.87 |
Where Massachusetts sits
The same service costs 15.9 times more in Maine than in Maryland. 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 $27,116MD $1,710
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.