How much rates vary
Facilitymedian $977 · 10th to 90th $389 to $10,000Professionalmedian $617 · 10th to 90th $389 to $3,311
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 $1,230.27 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,230.27 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $891.25 | Professional | None | $371.54 | $371.54 | $891.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $5,888.44 Typical High $12,882.50 | Facility | None | $954.99 | $5,888.44 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier None Typical Low $426.58 Median $1,023.29 Typical High $3,311.31 | Professional | None | $426.58 | $1,023.29 | $3,311.31 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $870.96 | Professional | None | $407.38 | $407.38 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $933.25 | Professional | None | $537.03 | $616.60 | $933.25 |
Fallon Health Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $3,311.31 | Facility | None | $398.11 | $489.78 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $707.95 | Professional | None | $446.68 | $524.81 | $707.95 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $3,019.95 Median $6,165.95 Typical High $13,489.63 | Facility | None | $3,019.95 | $6,165.95 | $13,489.63 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $436.52 Median $831.76 Typical High $1,148.15 | Professional | None | $436.52 | $831.76 | $1,148.15 |
Health New England Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,570.88 | Facility | None | $4,265.80 | $4,265.80 | $4,570.88 |
Health New England Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | None | $602.56 | $602.56 | $645.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $5,888.44 Typical High $12,882.50 | Facility | None | $954.99 | $5,888.44 | $12,882.50 |
Mass General Brigham Setting Professional Modifier None Typical Low $426.58 Median $1,023.29 Typical High $3,311.31 | Professional | None | $426.58 | $1,023.29 | $3,311.31 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $8,511.38 Typical High $18,197.01 | Facility | None | $3,019.95 | $8,511.38 | $18,197.01 |
United Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $1,621.81 | Professional | None | $398.11 | $524.81 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $588.84 | Facility | None | $281.84 | $398.11 | $588.84 |
Well Sense Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | 54 · Surgery only | $281.84 | $281.84 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $371.54 |
Where Massachusetts sits
The same service costs 4.2 times more in Wyoming than in Utah. 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· 16th of 51
$617
WY $1,202UT $288
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.