How much rates vary
Facilitymedian $1,202 · 10th to 90th $457 to $8,318Professionalmedian $1,148 · 10th to 90th $537 to $3,020
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 $467.74 Median $741.31 Typical High $851.14 | Professional | None | $467.74 | $741.31 | $851.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $3,890.45 Typical High $13,182.57 | Facility | None | $457.09 | $3,890.45 | $13,182.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $549.54 Median $1,202.26 Typical High $7,079.46 | Professional | None | $549.54 | $1,202.26 | $7,079.46 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,071.52 | Facility | None | $457.09 | $457.09 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $7,943.28 Typical High $9,772.37 | Facility | None | $758.58 | $7,943.28 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,202.26 Typical High $2,137.96 | Professional | None | $630.96 | $1,202.26 | $2,137.96 |
Fallon Health Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $3,311.31 | Facility | None | $457.09 | $588.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,445.44 | $1,659.59 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $891.25 Median $3,890.45 Typical High $11,748.98 | Facility | None | $891.25 | $3,890.45 | $11,748.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $2,691.53 | Professional | None | $562.34 | $1,148.15 | $2,691.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $3,890.45 Typical High $13,182.57 | Facility | None | $457.09 | $3,890.45 | $13,182.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $549.54 Median $1,202.26 Typical High $7,079.46 | Professional | None | $549.54 | $1,202.26 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,265.80 Typical High $15,135.61 | Facility | None | $1,071.52 | $4,265.80 | $15,135.61 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,202.26 Typical High $2,630.27 | Professional | None | $588.84 | $1,202.26 | $2,630.27 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $776.25 Typical High $3,715.35 | Facility | None | $398.11 | $776.25 | $3,715.35 |
Well Sense Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $758.58 | Professional | None | $346.74 | $467.74 | $758.58 |
3 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 $354.81 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $354.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $331.13 | $489.78 | $588.84 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $489.78 Typical High $645.65 | Professional | 62 · Two surgeons | $288.40 | $489.78 | $645.65 |
Where Massachusetts sits
The same service costs 8.6 times more in Colorado 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
CO $14,248KY $1,661
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.