How much rates vary
Facilitymedian $1,122 · 10th to 90th $490 to $3,548Professionalmedian $1,738 · 10th to 90th $891 to $10,471
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 $2,691.53 Median $3,467.37 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,467.37 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,801.89 | Professional | None | $1,258.93 | $1,258.93 | $3,801.89 |
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 $3,235.94 Typical High $10,471.29 | Professional | None | $1,202.26 | $3,235.94 | $10,471.29 |
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 $1,621.81 Median $1,621.81 Typical High $4,073.80 | Professional | None | $1,621.81 | $1,621.81 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $676.08 Median $1,318.26 Typical High $2,089.30 | Facility | None | $676.08 | $1,318.26 | $2,089.30 |
Fallon Health Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $1,737.80 | Professional | None | $676.08 | $1,202.26 | $1,737.80 |
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 $1,318.26 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,318.26 | $2,344.23 | $3,548.13 |
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 $3,235.94 Typical High $10,471.29 | Professional | None | $1,202.26 | $3,235.94 | $10,471.29 |
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 $1,318.26 Median $1,778.28 Typical High $5,370.32 | Professional | None | $1,318.26 | $1,778.28 | $5,370.32 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,819.70 | Facility | None | $891.25 | $1,230.27 | $1,819.70 |
Well Sense Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
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 $870.96 Median $870.96 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $2,691.53 |
Where Massachusetts sits
The same service costs 13.1 times more in Maine 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
ME $24,607MD $1,881
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.