How much rates vary
Facilitymedian $1,380 · 10th to 90th $447 to $5,888Professionalmedian $1,479 · 10th to 90th $457 to $5,754
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 $1,288.25 Median $1,288.25 Typical High $1,995.26 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $549.54 | Professional | 26 · Professional part | $363.08 | $363.08 | $549.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $1,380.38 | Professional | TC · Technical part | $933.25 | $933.25 | $1,380.38 |
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 $1,202.26 Median $3,235.94 Typical High $8,317.64 | Professional | None (both parts) | $1,202.26 | $3,235.94 | $8,317.64 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $954.99 Typical High $2,290.87 | Professional | 26 · Professional part | $380.19 | $954.99 | $2,290.87 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $2,454.71 Typical High $5,888.44 | Professional | TC · Technical part | $870.96 | $2,454.71 | $5,888.44 |
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 $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $660.69 Typical High $1,047.13 | Professional | 26 · Professional part | $660.69 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,698.24 Typical High $2,884.03 | Professional | TC · Technical part | $1,698.24 | $1,698.24 | $2,884.03 |
Fallon Health Setting Facility Modifier None Typical Low $263.03 Median $812.83 Typical High $1,862.09 | Facility | None | $263.03 | $812.83 | $1,862.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $776.25 Typical High $1,778.28 | Professional | None (both parts) | $263.03 | $776.25 | $1,778.28 |
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 $1,445.44 Median $2,754.23 Typical High $5,754.40 | Professional | None (both parts) | $1,445.44 | $2,754.23 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $794.33 Typical High $1,202.26 | Professional | 26 · Professional part | $436.52 | $794.33 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,905.46 Typical High $2,818.38 | Professional | TC · Technical part | $1,023.29 | $1,905.46 | $2,818.38 |
Health New England Setting Facility Modifier None Typical Low $3,467.37 Median $6,165.95 Typical High $19,054.61 | Facility | None | $3,467.37 | $6,165.95 | $19,054.61 |
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 $1,202.26 Median $3,235.94 Typical High $8,317.64 | Professional | None (both parts) | $1,202.26 | $3,235.94 | $8,317.64 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $954.99 Typical High $2,290.87 | Professional | 26 · Professional part | $380.19 | $954.99 | $2,290.87 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $2,454.71 Typical High $5,888.44 | Professional | TC · Technical part | $870.96 | $2,454.71 | $5,888.44 |
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 $1,621.81 Median $2,137.96 Typical High $6,165.95 | Professional | None (both parts) | $1,621.81 | $2,137.96 | $6,165.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $645.65 Typical High $1,698.24 | Professional | 26 · Professional part | $446.68 | $645.65 | $1,698.24 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,548.82 Typical High $4,466.84 | Professional | TC · Technical part | $1,148.15 | $1,548.82 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,905.46 | Facility | None | $1,071.52 | $1,202.26 | $1,905.46 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $263.03 Median $346.74 Typical High $616.60 | Facility | 26 · Professional part | $263.03 | $346.74 | $616.60 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $891.25 Typical High $1,659.59 | Facility | TC · Technical part | $707.95 | $891.25 | $1,659.59 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,258.93 |
2 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 $977.24 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
BCBS Massachusetts Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,951.21 Median $3,388.44 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $2,951.21 | $3,388.44 | $4,265.80 |
Where Massachusetts sits
The same service costs 3.9 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· 42nd of 51
$1,445
WI $4,898NY $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.