How much rates vary
Facilitymedian $2,512 · 10th to 90th $955 to $7,079Professionalmedian $1,950 · 10th to 90th $1,122 to $7,586
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 $3,388.44 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,174.90 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $3,019.95 Typical High $7,943.28 | Facility | None | $954.99 | $3,019.95 | $7,943.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $2,818.38 Typical High $7,585.78 | Professional | None | $1,174.90 | $2,818.38 | $7,585.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,659.59 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,388.44 Typical High $4,466.84 | Facility | None | $758.58 | $3,388.44 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $4,073.80 | Professional | None | $1,047.13 | $1,778.28 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $3,311.31 | Facility | None | $1,096.48 | $1,412.54 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,479.11 | $1,949.84 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,630.78 Typical High $10,232.93 | Facility | None | $794.33 | $3,630.78 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,202.26 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,202.26 | $2,344.23 | $3,548.13 |
Health New England Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $8,912.51 | Facility | None | $2,041.74 | $2,137.96 | $8,912.51 |
Health New England Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,698.24 | $1,949.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $3,019.95 Typical High $7,943.28 | Facility | None | $954.99 | $3,019.95 | $7,943.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $2,818.38 Typical High $7,585.78 | Professional | None | $1,174.90 | $2,818.38 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,715.35 Typical High $12,589.25 | Facility | None | $1,071.52 | $3,715.35 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $4,365.16 | Professional | None | $1,174.90 | $1,621.81 | $4,365.16 |
Well Sense Setting Facility Modifier None Typical Low $954.99 Median $1,380.38 Typical High $1,949.84 | Facility | None | $954.99 | $1,380.38 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
4 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 $891.25 Median $891.25 Typical High $2,290.87 | Professional | 54 · Surgery only | $891.25 | $891.25 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $2,137.96 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,548.82 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $912.01 | $1,548.82 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $309.03 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $309.03 | $407.38 |
Where Massachusetts sits
The same service costs 3.5 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 $10,843KY $3,092
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.