How much rates vary
Facilitymedian $1,023 · 10th to 90th $123 to $4,677Professionalmedian $170 · 10th to 90th $105 to $955
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 $691.83 Median $2,691.53 Typical High $3,715.35 | Facility | None | $691.83 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $245.47 | Professional | None | $104.71 | $104.71 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $323.59 Median $1,318.26 Typical High $5,011.87 | Facility | None | $323.59 | $1,318.26 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $114.82 Median $281.84 Typical High $954.99 | Professional | None | $114.82 | $281.84 | $954.99 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $426.58 | Professional | None | $109.65 | $177.83 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,187.76 Typical High $2,754.23 | Facility | None | $645.65 | $2,187.76 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $275.42 | Professional | None | $158.49 | $169.82 | $275.42 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $3,311.31 | Facility | None | $109.65 | $144.54 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $190.55 | Professional | None | $123.03 | $144.54 | $190.55 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $120.23 Median $223.87 Typical High $331.13 | Professional | None | $120.23 | $223.87 | $331.13 |
Health New England Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,388.44 | Facility | None | $3,311.31 | $3,311.31 | $3,388.44 |
Health New England Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $323.59 Median $1,318.26 Typical High $5,011.87 | Facility | None | $323.59 | $1,318.26 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $114.82 Median $281.84 Typical High $954.99 | Professional | None | $114.82 | $281.84 | $954.99 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $8,511.38 | Facility | None | $575.44 | $1,380.38 | $8,511.38 |
United Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $407.38 | Professional | None | $109.65 | $147.91 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $933.25 | Facility | None | $85.11 | $131.83 | $933.25 |
Well Sense Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | None | $75.86 | $75.86 | $102.33 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $95.50 Typical High $125.89 | Professional | 52 · Reduced service | $54.95 | $95.50 | $125.89 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $151.36 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $89.13 | $151.36 | $199.53 |
Where Massachusetts sits
The same service costs 13.3 times more in Colorado than in Montana. 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
CO $4,506MT $340
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.