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 $4,897.79 | Facility | None | $2,089.30 | $3,019.95 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,995.26 | $1,995.26 | $3,019.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $5,370.32 | Facility | None | $346.74 | $1,047.13 | $5,370.32 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $5,754.40 Typical High $17,782.79 | Professional | None | $2,398.83 | $5,754.40 | $17,782.79 |
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 $2,884.03 Median $3,467.37 Typical High $5,248.07 | Professional | None | $2,884.03 | $3,467.37 | $5,248.07 |
Fallon Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,818.38 | $3,630.78 |
Fallon Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,981.07 | Professional | None | $2,511.89 | $2,951.21 | $3,981.07 |
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 $2,511.89 Median $4,677.35 Typical High $6,760.83 | Professional | None | $2,511.89 | $4,677.35 | $6,760.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $5,370.32 | Facility | None | $346.74 | $1,047.13 | $5,370.32 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,398.83 Median $5,754.40 Typical High $17,782.79 | Professional | None | $2,398.83 | $5,754.40 | $17,782.79 |
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 $2,290.87 Median $3,090.30 Typical High $8,511.38 | Professional | None | $2,290.87 | $3,090.30 | $8,511.38 |
Well Sense Setting Facility Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,311.31 | Facility | None | $1,621.81 | $2,238.72 | $3,311.31 |
Well Sense Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,445.44 | $1,949.84 |
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 $1,380.38 Median $1,380.38 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $2,137.96 |
Where Massachusetts sits
The same service costs 21.9 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
$3,548
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.