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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | None | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | UE · Used equipment | $120.23 | $125.89 | $125.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $181.97 | Facility | None | $50.12 | $63.10 | $181.97 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $20.42 Median $20.89 Typical High $69.18 | Facility | RR · Rental | $20.42 | $20.89 | $69.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.02 Median $23.44 Typical High $245.47 | Professional | None | $12.02 | $23.44 | $245.47 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $14.79 Median $21.88 Typical High $138.04 | Professional | RR · Rental | $14.79 | $21.88 | $138.04 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $181.97 Typical High $181.97 | Professional | UE · Used equipment | $74.13 | $181.97 | $181.97 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $147.91 | Facility | None | $48.98 | $48.98 | $147.91 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | RR · Rental | $20.42 | $20.42 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
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 $12.02 Median $23.44 Typical High $245.47 | Professional | None | $12.02 | $23.44 | $245.47 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $20.89 | Professional | RR · Rental | $11.22 | $11.22 | $20.89 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $181.97 Typical High $181.97 | Professional | UE · Used equipment | $74.13 | $181.97 | $181.97 |
Health New England Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Health New England Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $20.42 | $20.42 | $20.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $181.97 | Facility | None | $50.12 | $63.10 | $181.97 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $20.42 Median $20.89 Typical High $69.18 | Facility | RR · Rental | $20.42 | $20.89 | $69.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.02 Median $23.44 Typical High $245.47 | Professional | None | $12.02 | $23.44 | $245.47 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $14.79 Median $21.88 Typical High $138.04 | Professional | RR · Rental | $14.79 | $21.88 | $138.04 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $181.97 Typical High $181.97 | Professional | UE · Used equipment | $74.13 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $12.02 Median $23.44 Typical High $245.47 | Professional | None | $12.02 | $23.44 | $245.47 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $14.79 Typical High $21.88 | Professional | RR · Rental | $7.94 | $14.79 | $21.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $181.97 Typical High $181.97 | Professional | UE · Used equipment | $74.13 | $181.97 | $181.97 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $17.78 Median $22.91 Typical High $41.69 | Facility | RR · Rental | $17.78 | $22.91 | $41.69 |
Well Sense Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | RR · Rental | $25.70 | $25.70 | $34.67 |
7 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 Professional Modifier QBRR · Oxygen over 4 L/min + portable + Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QBRR · Oxygen over 4 L/min + portable + Rental | $50.12 | $50.12 | $50.12 |
AllWays Health Partners Setting Professional Modifier QFRR · Oxygen over 4 L/min at rest + portable + Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QFRR · Oxygen over 4 L/min at rest + portable + Rental | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier QBRR · Oxygen over 4 L/min + portable + Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QBRR · Oxygen over 4 L/min + portable + Rental | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier QFRR · Oxygen over 4 L/min at rest + portable + Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QFRR · Oxygen over 4 L/min at rest + portable + Rental | $50.12 | $50.12 | $50.12 |
Well Sense Setting Facility Modifier KR · Partial-month rental Typical Low $0.71 Median $0.91 Typical High $1.66 | Facility | KR · Partial-month rental | $0.71 | $0.91 | $1.66 |
Well Sense Setting Professional Modifier KR · Partial-month rental Typical Low $0.95 Median $0.95 Typical High $1.29 | Professional | KR · Partial-month rental | $0.95 | $0.95 | $1.29 |
Well Sense Setting Professional Modifier LL · Lease toward purchase Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | LL · Lease toward purchase | $28.84 | $28.84 | $38.90 |
Where Massachusetts sits
The same service costs 12.3 times more in Wyoming 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· 24th of 51
$126
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.