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 $2,691.53 Median $3,467.37 Typical High $7,413.10 | Facility | None | $2,691.53 | $3,467.37 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | None | $630.96 | $630.96 | $660.69 |
AllWays Health Partners Setting Facility Modifier None Typical Low $870.96 Median $3,162.28 Typical High $8,912.51 | Facility | None | $870.96 | $3,162.28 | $8,912.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $794.33 Median $1,778.28 Typical High $4,786.30 | Professional | None | $794.33 | $1,778.28 | $4,786.30 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,584.89 | Professional | None | $741.31 | $741.31 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,388.44 Typical High $4,466.84 | Facility | None | $676.08 | $3,388.44 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,258.93 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $3,311.31 | Facility | None | $812.83 | $1,023.29 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,412.54 | Professional | None | $891.25 | $1,047.13 | $1,412.54 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $831.76 Median $1,584.89 Typical High $2,290.87 | Professional | None | $831.76 | $1,584.89 | $2,290.87 |
Health New England Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Health New England Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | None | $758.58 | $758.58 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $870.96 Median $3,162.28 Typical High $8,912.51 | Facility | None | $870.96 | $3,162.28 | $8,912.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $794.33 Median $1,778.28 Typical High $4,786.30 | Professional | None | $794.33 | $1,778.28 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $12,589.25 | Facility | None | $1,071.52 | $3,467.37 | $12,589.25 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $2,511.89 | Professional | None | $707.95 | $933.25 | $2,511.89 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $2,511.89 | Facility | None | $602.56 | $758.58 | $2,511.89 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $173.78 Typical High $257.04 | Professional | 80 · Assistant surgeon | $117.49 | $173.78 | $257.04 |
Where Massachusetts sits
The same service costs 6.2 times more in Alaska than in New York. 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· 21st of 51
$1,259
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.