How much rates vary
Facilitymedian $646 · 10th to 90th $145 to $3,388Professionalmedian $1,000 · 10th to 90th $162 to $5,248
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 $1,000.00 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $512.86 Typical High $1,071.52 | Professional | None | $158.49 | $512.86 | $1,071.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $323.59 Median $1,096.48 Typical High $3,630.78 | Facility | None | $323.59 | $1,096.48 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $173.78 Median $1,202.26 Typical High $6,025.60 | Professional | None | $173.78 | $1,202.26 | $6,025.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $316.23 | Facility | None | $138.04 | $165.96 | $316.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $138.04 Median $812.83 Typical High $1,584.89 | Professional | None | $138.04 | $812.83 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,380.38 Typical High $1,737.80 | Facility | None | $478.63 | $1,380.38 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $524.81 Typical High $1,862.09 | Professional | None | $223.87 | $524.81 | $1,862.09 |
Fallon Health Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $3,311.31 | Facility | None | $138.04 | $181.97 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,202.26 | $1,621.81 |
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 $165.96 Median $812.83 Typical High $2,187.76 | Professional | None | $165.96 | $812.83 | $2,187.76 |
Health New England Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Health New England Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $323.59 Median $1,096.48 Typical High $3,630.78 | Facility | None | $323.59 | $1,096.48 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $173.78 Median $1,202.26 Typical High $6,025.60 | Professional | None | $173.78 | $1,202.26 | $6,025.60 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,918.31 | Facility | None | $575.44 | $1,380.38 | $6,918.31 |
United Setting Professional Modifier None Typical Low $165.96 Median $812.83 Typical High $2,290.87 | Professional | None | $165.96 | $812.83 | $2,290.87 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $562.34 Typical High $1,047.13 | Facility | None | $125.89 | $562.34 | $1,047.13 |
Well Sense Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $933.25 | Professional | None | $128.82 | $190.55 | $933.25 |
4 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 $120.23 Median $524.81 Typical High $794.33 | Professional | 54 · Surgery only | $120.23 | $524.81 | $794.33 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $69.18 | $117.49 | $154.88 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $58.88 Typical High $89.13 | Professional | 53 · Discontinued | $33.88 | $58.88 | $89.13 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $186.21 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $109.65 | $186.21 | $251.19 |
Where Massachusetts sits
The same service costs 5.0 times more in Colorado than in Maryland. 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 $4,941MD $994
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.