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 $1,380.38 Median $1,380.38 Typical High $7,244.36 | Facility | None | $1,380.38 | $1,380.38 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,380.38 | $1,659.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,230.27 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,230.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $7,762.47 | Facility | None | $3,467.37 | $3,548.13 | $7,762.47 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $562.34 Median $588.84 Typical High $1,778.28 | Facility | RR · Rental | $562.34 | $588.84 | $1,778.28 |
AllWays Health Partners Setting Facility Modifier UE · Used equipment Typical Low $2,691.53 Median $2,818.38 Typical High $8,511.38 | Facility | UE · Used equipment | $2,691.53 | $2,818.38 | $8,511.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $3,467.37 Typical High $4,466.84 | Professional | None | $1,698.24 | $3,467.37 | $4,466.84 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $199.53 Median $562.34 Typical High $1,174.90 | Professional | RR · Rental | $199.53 | $562.34 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $2,691.53 Typical High $5,623.41 | Professional | UE · Used equipment | $954.99 | $2,691.53 | $5,623.41 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,365.16 Median $5,011.87 Typical High $6,760.83 | Facility | None | $4,365.16 | $5,011.87 | $6,760.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Professional | None | $2,089.30 | $2,089.30 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $8,511.38 | Facility | None | $60.26 | $100.00 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $7,585.78 | Professional | None | $1,819.70 | $3,548.13 | $7,585.78 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $190.55 Median $389.05 Typical High $1,995.26 | Professional | RR · Rental | $190.55 | $389.05 | $1,995.26 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $1,819.70 Typical High $9,549.93 | Professional | UE · Used equipment | $912.01 | $1,819.70 | $9,549.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $7,762.47 | Facility | None | $3,467.37 | $3,548.13 | $7,762.47 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $562.34 Median $588.84 Typical High $1,778.28 | Facility | RR · Rental | $562.34 | $588.84 | $1,778.28 |
Mass General Brigham Setting Facility Modifier UE · Used equipment Typical Low $2,691.53 Median $2,818.38 Typical High $8,511.38 | Facility | UE · Used equipment | $2,691.53 | $2,818.38 | $8,511.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,698.24 Median $3,467.37 Typical High $4,466.84 | Professional | None | $1,698.24 | $3,467.37 | $4,466.84 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $199.53 Median $562.34 Typical High $1,174.90 | Professional | RR · Rental | $199.53 | $562.34 | $1,174.90 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $2,691.53 Typical High $5,623.41 | Professional | UE · Used equipment | $954.99 | $2,691.53 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,511.89 Typical High $7,943.28 | Professional | None | $1,230.27 | $2,511.89 | $7,943.28 |
United Setting Professional Modifier RR · Rental Typical Low $190.55 Median $389.05 Typical High $1,258.93 | Professional | RR · Rental | $190.55 | $389.05 | $1,258.93 |
United Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $1,819.70 Typical High $5,888.44 | Professional | UE · Used equipment | $912.01 | $1,819.70 | $5,888.44 |
Well Sense Setting Facility Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $7,079.46 | Facility | None | $3,019.95 | $3,801.89 | $7,079.46 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $478.63 Median $630.96 Typical High $1,122.02 | Facility | RR · Rental | $478.63 | $630.96 | $1,122.02 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $2,290.87 Median $2,818.38 Typical High $5,248.07 | Facility | UE · Used equipment | $2,290.87 | $2,818.38 | $5,248.07 |
Well Sense Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,818.38 | Professional | None | $1,995.26 | $2,344.23 | $2,818.38 |
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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Facility Modifier MS · Maintenance fee Typical Low $281.84 Median $295.12 Typical High $912.01 | Facility | MS · Maintenance fee | $281.84 | $295.12 | $912.01 |
Mass General Brigham Setting Facility Modifier MS · Maintenance fee Typical Low $281.84 Median $295.12 Typical High $912.01 | Facility | MS · Maintenance fee | $281.84 | $295.12 | $912.01 |
Well Sense Setting Facility Modifier KR · Partial-month rental Typical Low $12.88 Median $16.22 Typical High $30.20 | Facility | KR · Partial-month rental | $12.88 | $16.22 | $30.20 |
Well Sense Setting Facility Modifier MS · Maintenance fee Typical Low $239.88 Median $302.00 Typical High $562.34 | Facility | MS · Maintenance fee | $239.88 | $302.00 | $562.34 |
Where Massachusetts sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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· 6th of 51
$3,548
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.