How much rates vary
Facilitymedian $1,995 · 10th to 90th $550 to $9,120Professionalmedian $1,202 · 10th to 90th $617 to $8,710
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 $1,513.56 Median $3,090.30 Typical High $6,309.57 | Facility | None | $1,513.56 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,819.70 | Professional | None | $831.76 | $831.76 | $1,819.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $13,182.57 | Facility | None | $1,071.52 | $3,890.45 | $13,182.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $891.25 Median $2,187.76 Typical High $8,709.64 | Professional | None | $891.25 | $2,187.76 | $8,709.64 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $812.83 Median $1,621.81 Typical High $2,630.27 | Professional | None | $812.83 | $1,621.81 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $7,762.47 Typical High $10,000.00 | Facility | None | $1,778.28 | $7,762.47 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,570.40 | Professional | None | $954.99 | $954.99 | $2,570.40 |
Fallon Health Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $2,951.21 | Facility | None | $467.74 | $912.01 | $2,951.21 |
Fallon Health Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,174.90 | Professional | None | $457.09 | $812.83 | $1,174.90 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,220.18 | Facility | None | $891.25 | $3,890.45 | $11,220.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $891.25 Median $1,621.81 Typical High $3,162.28 | Professional | None | $891.25 | $1,621.81 | $3,162.28 |
Health New England Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $10,715.19 | Facility | None | $870.96 | $870.96 | $10,715.19 |
Health New England Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $13,182.57 | Facility | None | $1,071.52 | $3,890.45 | $13,182.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $891.25 Median $2,187.76 Typical High $8,709.64 | Professional | None | $891.25 | $2,187.76 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $16,982.44 | Facility | None | $1,071.52 | $3,890.45 | $16,982.44 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $3,162.28 | Professional | None | $933.25 | $1,288.25 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $3,019.95 | Facility | None | $676.08 | $1,230.27 | $3,019.95 |
Well Sense Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | None | $691.83 | $691.83 | $831.76 |
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 $616.60 Median $616.60 Typical High $1,995.26 | Professional | 54 · Surgery only | $616.60 | $616.60 | $1,995.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $1,862.09 |
Where Massachusetts sits
The same service costs 6.1 times more in Colorado than in Montana. 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 $15,685MT $2,577
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.