How much rates vary
Facilitymedian $20 · 10th to 90th $11 to $32Professionalmedian $7 · 10th to 90th $5 to $71
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 $6.17 Median $6.17 Typical High $28.18 | Facility | None | $6.17 | $6.17 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $22.91 | Professional | None | $6.17 | $6.17 | $22.91 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.63 Median $0.63 Typical High $2.82 | Professional | RR · Rental | $0.63 | $0.63 | $2.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.57 Median $4.57 Typical High $9.55 | Professional | UE · Used equipment | $4.57 | $4.57 | $9.55 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $70.79 | Professional | None | $5.50 | $8.51 | $70.79 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.93 Typical High $19.95 | Professional | RR · Rental | $0.56 | $0.93 | $19.95 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $5.25 Typical High $10.23 | Professional | UE · Used equipment | $3.47 | $5.25 | $10.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.22 Median $20.89 Typical High $27.54 | Facility | None | $16.22 | $20.89 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | None | $7.08 | $7.08 | $10.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.81 | Professional | RR · Rental | $0.60 | $0.60 | $0.81 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.75 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.75 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.50 Median $12.30 Typical High $13.49 | Professional | None | $5.50 | $12.30 | $13.49 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.72 Typical High $1.41 | Professional | RR · Rental | $0.48 | $0.72 | $1.41 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $5.25 Typical High $10.23 | Professional | UE · Used equipment | $3.47 | $5.25 | $10.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $70.79 | Professional | None | $5.50 | $8.51 | $70.79 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.93 Typical High $19.95 | Professional | RR · Rental | $0.56 | $0.93 | $19.95 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $5.25 Typical High $10.23 | Professional | UE · Used equipment | $3.47 | $5.25 | $10.23 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.92 Typical High $13.49 | Professional | None | $4.68 | $6.92 | $13.49 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.72 Typical High $1.41 | Professional | RR · Rental | $0.48 | $0.72 | $1.41 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $5.25 Typical High $10.23 | Professional | UE · Used equipment | $3.47 | $5.25 | $10.23 |
Well Sense Setting Facility Modifier None Typical Low $11.48 Median $14.79 Typical High $26.92 | Facility | None | $11.48 | $14.79 | $26.92 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $1.20 Median $1.51 Typical High $2.82 | Facility | RR · Rental | $1.20 | $1.51 | $2.82 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $8.71 Median $10.96 Typical High $19.95 | Facility | UE · Used equipment | $8.71 | $10.96 | $19.95 |
Well Sense Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $10.72 | Professional | None | $7.94 | $8.91 | $10.72 |
Well Sense Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $7.94 Typical High $7.94 | Professional | UE · Used equipment | $6.61 | $7.94 | $7.94 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | MS · Maintenance fee | $0.63 | $0.63 | $0.63 |
Where Massachusetts sits
The same service costs 11.2 times more in Minnesota 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· 18th of 51
$7.94
MN $15.14IL $1.35
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.