How much rates vary
Facilitymedian $1,288 · 10th to 90th $372 to $5,754Professionalmedian $1,349 · 10th to 90th $380 to $5,623
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 $4,265.80 Typical High $7,762.47 | Facility | None | $2,691.53 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,778.28 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $457.09 | Professional | 26 · Professional part | $302.00 | $302.00 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,288.25 | Professional | TC · Technical part | $831.76 | $831.76 | $1,288.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $776.25 Median $3,019.95 Typical High $6,606.93 | Facility | None | $776.25 | $3,019.95 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $3,090.30 Typical High $7,413.10 | Professional | None (both parts) | $1,096.48 | $3,090.30 | $7,413.10 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $794.33 Typical High $1,905.46 | Professional | 26 · Professional part | $316.23 | $794.33 | $1,905.46 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $2,344.23 Typical High $5,623.41 | Professional | TC · Technical part | $891.25 | $2,344.23 | $5,623.41 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $6,760.83 | Facility | None | $4,365.16 | $5,128.61 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $10,715.19 | Facility | None | $2,290.87 | $3,235.94 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $3,548.13 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $870.96 | Professional | 26 · Professional part | $549.54 | $549.54 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,584.89 Typical High $2,754.23 | Professional | TC · Technical part | $1,548.82 | $1,584.89 | $2,754.23 |
Fallon Health Setting Facility Modifier None Typical Low $218.78 Median $741.31 Typical High $1,698.24 | Facility | None | $218.78 | $741.31 | $1,698.24 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $724.44 Typical High $1,621.81 | Professional | None (both parts) | $218.78 | $724.44 | $1,621.81 |
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 (both parts) Typical Low $1,318.26 Median $2,511.89 Typical High $5,623.41 | Professional | None (both parts) | $1,318.26 | $2,511.89 | $5,623.41 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $676.08 Typical High $1,000.00 | Professional | 26 · Professional part | $363.08 | $676.08 | $1,000.00 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,778.28 Typical High $2,630.27 | Professional | TC · Technical part | $954.99 | $1,778.28 | $2,630.27 |
Health New England Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,801.89 | $3,801.89 | $3,981.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $776.25 Median $3,019.95 Typical High $6,606.93 | Facility | None | $776.25 | $3,019.95 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $3,090.30 Typical High $7,413.10 | Professional | None (both parts) | $1,096.48 | $3,090.30 | $7,413.10 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $794.33 Typical High $1,905.46 | Professional | 26 · Professional part | $316.23 | $794.33 | $1,905.46 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $2,344.23 Typical High $5,623.41 | Professional | TC · Technical part | $891.25 | $2,344.23 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,715.19 | Facility | None | $1,071.52 | $3,467.37 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,905.46 Typical High $5,623.41 | Professional | None (both parts) | $1,412.54 | $1,905.46 | $5,623.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $537.03 Typical High $1,412.54 | Professional | 26 · Professional part | $380.19 | $537.03 | $1,412.54 |
United Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,445.44 Typical High $4,168.69 | Professional | TC · Technical part | $1,047.13 | $1,445.44 | $4,168.69 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,819.70 | Facility | None | $891.25 | $1,174.90 | $1,819.70 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $218.78 Median $288.40 Typical High $512.86 | Facility | 26 · Professional part | $218.78 | $288.40 | $512.86 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $851.14 Typical High $1,548.82 | Facility | TC · Technical part | $660.69 | $851.14 | $1,548.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | None (both parts) | $933.25 | $933.25 | $1,122.02 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
BCBS Massachusetts Setting Facility Modifier 73 · Stopped before anesthesia Typical Low $1,318.26 Median $1,513.56 Typical High $2,041.74 | Facility | 73 · Stopped before anesthesia | $1,318.26 | $1,513.56 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $3,019.95 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $2,691.53 | $3,019.95 | $3,890.45 |
Where Massachusetts sits
The same service costs 4.0 times more in Wisconsin 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· 43rd of 51
$1,318
WI $4,467NY $1,122
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.