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 $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 $398.11 Median $398.11 Typical High $616.60 | Professional | None | $398.11 | $398.11 | $616.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $5,888.44 Typical High $12,882.50 | Facility | None | $1,000.00 | $5,888.44 | $12,882.50 |
AllWays Health Partners Setting Professional Modifier None Typical Low $457.09 Median $1,096.48 Typical High $3,548.13 | Professional | None | $457.09 | $1,096.48 | $3,548.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $3,311.31 | Professional | None | $426.58 | $724.44 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $1,000.00 | Professional | None | $562.34 | $645.65 | $1,000.00 |
Fallon Health Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $3,311.31 | Facility | None | $426.58 | $524.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $741.31 | Professional | None | $478.63 | $562.34 | $741.31 |
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 $467.74 Median $870.96 Typical High $1,230.27 | Professional | None | $467.74 | $870.96 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,000.00 Median $5,888.44 Typical High $12,882.50 | Facility | None | $1,000.00 | $5,888.44 | $12,882.50 |
Mass General Brigham Setting Professional Modifier None Typical Low $457.09 Median $1,096.48 Typical High $3,548.13 | Professional | None | $457.09 | $1,096.48 | $3,548.13 |
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 $426.58 Median $562.34 Typical High $1,698.24 | Professional | None | $426.58 | $562.34 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $630.96 | Facility | None | $302.00 | $416.87 | $630.96 |
Well Sense Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
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 $302.00 Median $302.00 Typical High $467.74 | Professional | 54 · Surgery only | $302.00 | $302.00 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $398.11 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska 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· 11th of 51
$692
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.