How much rates vary
Facilitymedian $65 · 10th to 90th $26 to $105Professionalmedian $36 · 10th to 90th $25 to $166
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $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 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $63.10 | Facility | None | $50.12 | $50.12 | $63.10 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $43.65 Median $47.86 Typical High $158.49 | Facility | RR · Rental | $43.65 | $47.86 | $158.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $47.86 | Professional | None | $24.55 | $26.92 | $47.86 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $24.55 Median $51.29 Typical High $251.19 | Professional | RR · Rental | $24.55 | $51.29 | $251.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $100.00 | Facility | None | $60.26 | $75.86 | $100.00 |
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $691.83 | Professional | None | $275.42 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
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 $24.55 Median $26.92 Typical High $47.86 | Professional | None | $24.55 | $26.92 | $47.86 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $22.91 Median $25.70 Typical High $27.54 | Professional | RR · Rental | $22.91 | $25.70 | $27.54 |
Health New England Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Health New England Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | RR · Rental | $25.70 | $25.70 | $25.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $63.10 | Facility | None | $50.12 | $50.12 | $63.10 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $43.65 Median $47.86 Typical High $158.49 | Facility | RR · Rental | $43.65 | $47.86 | $158.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $47.86 | Professional | None | $24.55 | $26.92 | $47.86 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $24.55 Median $51.29 Typical High $251.19 | Professional | RR · Rental | $24.55 | $51.29 | $251.19 |
United Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $47.86 | Professional | None | $23.99 | $26.92 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $16.60 Median $24.55 Typical High $47.86 | Professional | RR · Rental | $16.60 | $24.55 | $47.86 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $40.74 Median $52.48 Typical High $95.50 | Facility | RR · Rental | $40.74 | $52.48 | $95.50 |
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 |
8 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 UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | UE · Used equipment | $125.89 | $125.89 | $125.89 |
AllWays Health Partners Setting Professional Modifier QBRR · Oxygen over 4 L/min + portable + Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | QBRR · Oxygen over 4 L/min + portable + Rental | $51.29 | $51.29 | $51.29 |
AllWays Health Partners Setting Professional Modifier QFRR · Oxygen over 4 L/min at rest + portable + Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | QFRR · Oxygen over 4 L/min at rest + portable + Rental | $51.29 | $51.29 | $51.29 |
Mass General Brigham Setting Professional Modifier QBRR · Oxygen over 4 L/min + portable + Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | QBRR · Oxygen over 4 L/min + portable + Rental | $51.29 | $51.29 | $51.29 |
Mass General Brigham Setting Professional Modifier QFRR · Oxygen over 4 L/min at rest + portable + Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | QFRR · Oxygen over 4 L/min at rest + portable + Rental | $51.29 | $51.29 | $51.29 |
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 29.5 times more in Wyoming than in Oklahoma. 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· 44th of 51
$36.31
WY $676OK $22.91
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.