How much rates vary
Facilitymedian $1,995 · 10th to 90th $851 to $7,079Professionalmedian $2,188 · 10th to 90th $1,380 to $9,550
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 $1,412.54 Median $1,412.54 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,412.54 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,412.54 | $2,187.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $7,244.36 | Facility | None | $724.44 | $2,691.53 | $7,244.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $3,890.45 Typical High $9,549.93 | Professional | None | $1,174.90 | $3,890.45 | $9,549.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $6,165.95 | Professional | None | $2,951.21 | $3,890.45 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $831.76 Typical High $57,543.99 | Facility | None | $676.08 | $831.76 | $57,543.99 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,715.35 | Professional | None | $1,905.46 | $1,905.46 | $3,715.35 |
Fallon Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,778.28 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,584.89 | $1,862.09 | $2,187.76 |
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 $1,548.82 Median $2,951.21 Typical High $4,466.84 | Professional | None | $1,548.82 | $2,951.21 | $4,466.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $7,244.36 | Facility | None | $724.44 | $2,691.53 | $7,244.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $3,890.45 Typical High $9,549.93 | Professional | None | $1,174.90 | $3,890.45 | $9,549.93 |
United Setting Facility Modifier None Typical Low $912.01 Median $3,890.45 Typical High $11,220.18 | Facility | None | $912.01 | $3,890.45 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $5,754.40 | Professional | None | $1,122.02 | $2,137.96 | $5,754.40 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,412.54 | $2,089.30 |
Well Sense Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None | $776.25 | $776.25 | $933.25 |
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 $977.24 Median $977.24 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,513.56 |
Where Massachusetts sits
The same service costs 5.7 times more in Alaska than in Kentucky. 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
AK $13,752KY $2,420
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.