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 $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 $1,023.29 Median $1,023.29 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,023.29 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $3,548.13 | Facility | None | $346.74 | $891.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $8,317.64 | Professional | None | $1,202.26 | $2,951.21 | $8,317.64 |
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 $1,412.54 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,778.28 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $3,311.31 | Facility | None | $1,174.90 | $1,479.11 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,548.82 | $2,089.30 |
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 $1,258.93 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,258.93 | $2,398.83 | $3,388.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $3,548.13 | Facility | None | $346.74 | $891.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $8,317.64 | Professional | None | $1,202.26 | $2,951.21 | $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 $4,365.16 | Professional | None | $1,122.02 | $1,513.56 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,698.24 | Facility | None | $812.83 | $1,122.02 | $1,698.24 |
Well Sense Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
1 more rate 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 $724.44 Median $724.44 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $1,071.52 |
Where Massachusetts sits
The same service costs 5.8 times more in Alaska than in Texas. 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· 13th of 51
$1,778
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.