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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $602.56 | Professional | None | $416.87 | $457.09 | $602.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,862.09 | Facility | None | $125.89 | $407.38 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $3,715.35 | Professional | None | $1,445.44 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $446.68 Typical High $954.99 | Facility | None | $50.12 | $446.68 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,412.54 | Professional | None | $630.96 | $630.96 | $1,412.54 |
Fallon Health Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $5,888.44 | Facility | None | $691.83 | $812.83 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $812.83 | Professional | None | $691.83 | $691.83 | $812.83 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Health New England Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $218.78 | Facility | None | $199.53 | $204.17 | $218.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,862.09 | Facility | None | $125.89 | $407.38 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $3,715.35 | Professional | None | $1,445.44 | $3,715.35 | $3,715.35 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,754.40 | Facility | None | $2,511.89 | $3,467.37 | $5,754.40 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,995.26 | $1,995.26 | $2,398.83 |
Where Massachusetts sits
The same service costs 134.9 times more in Oklahoma than in Hawaii. 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· 8th of 51
$1,023
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.