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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $870.96 | Professional | None | $831.76 | $870.96 | $870.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $645.65 Typical High $645.65 | Professional | UE · Used equipment | $616.60 | $645.65 | $645.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,412.54 | Facility | None | $1,148.15 | $1,148.15 | $1,412.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,778.28 | Professional | None | $549.54 | $1,000.00 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $50.12 Median $89.13 Typical High $204.17 | Professional | RR · Rental | $50.12 | $89.13 | $204.17 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $741.31 Typical High $1,318.26 | Professional | UE · Used equipment | $416.87 | $741.31 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $1,479.11 | Facility | None | $154.88 | $186.21 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Facility | None | $891.25 | $891.25 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,202.26 | Professional | None | $741.31 | $891.25 | $1,202.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $89.13 Typical High $104.71 | Professional | RR · Rental | $74.13 | $89.13 | $104.71 |
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 $549.54 Median $1,000.00 Typical High $1,778.28 | Professional | None | $549.54 | $1,000.00 | $1,778.28 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $50.12 Median $89.13 Typical High $204.17 | Professional | RR · Rental | $50.12 | $89.13 | $204.17 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $741.31 Typical High $1,318.26 | Professional | UE · Used equipment | $416.87 | $741.31 | $1,318.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,412.54 | Facility | None | $1,148.15 | $1,148.15 | $1,412.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,778.28 | Professional | None | $549.54 | $1,000.00 | $1,778.28 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $50.12 Median $89.13 Typical High $204.17 | Professional | RR · Rental | $50.12 | $89.13 | $204.17 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $741.31 Typical High $1,318.26 | Professional | UE · Used equipment | $416.87 | $741.31 | $1,318.26 |
United Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,778.28 | Professional | None | $549.54 | $1,000.00 | $1,778.28 |
United Setting Professional Modifier RR · Rental Typical Low $50.12 Median $89.13 Typical High $165.96 | Professional | RR · Rental | $50.12 | $89.13 | $165.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $741.31 Typical High $1,318.26 | Professional | UE · Used equipment | $416.87 | $741.31 | $1,318.26 |
Well Sense Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,691.53 | Facility | None | $1,148.15 | $1,513.56 | $2,691.53 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $870.96 Median $1,122.02 Typical High $1,995.26 | Facility | UE · Used equipment | $870.96 | $1,122.02 | $1,995.26 |
Well Sense Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,380.38 | $1,659.59 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $87.10 Median $109.65 Typical High $199.53 | Facility | KJ · Rental month 4–15 | $87.10 | $109.65 | $199.53 |
Where Massachusetts sits
The same service costs 4.6 times more in Kansas than in Rhode Island. 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
$977
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.