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 $6,760.83 Median $6,760.83 Typical High $30,902.95 | Facility | None | $6,760.83 | $6,760.83 | $30,902.95 |
Aetna Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $30,902.95 | Professional | None | $6,760.83 | $6,760.83 | $30,902.95 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | RR · Rental | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5,011.87 Median $5,011.87 Typical High $22,908.68 | Professional | UE · Used equipment | $5,011.87 | $5,011.87 | $22,908.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $11,748.98 Typical High $34,673.69 | Facility | None | $1,479.11 | $11,748.98 | $34,673.69 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $1,174.90 Median $1,202.26 Typical High $3,715.35 | Facility | RR · Rental | $1,174.90 | $1,202.26 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6,165.95 Median $9,772.37 Typical High $69,183.10 | Professional | None | $6,165.95 | $9,772.37 | $69,183.10 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $602.56 Median $1,479.11 Typical High $7,244.36 | Professional | RR · Rental | $602.56 | $1,479.11 | $7,244.36 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $7,413.10 Typical High $10,471.29 | Professional | UE · Used equipment | $3,890.45 | $7,413.10 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $15,488.17 | Professional | None | $11,220.18 | $11,220.18 | $15,488.17 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | RR · Rental | $645.65 | $645.65 | $851.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $9,549.93 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $9,549.93 |
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 $5,128.61 Median $7,762.47 Typical High $15,488.17 | Professional | None | $5,128.61 | $7,762.47 | $15,488.17 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $549.54 Median $2,089.30 Typical High $2,238.72 | Professional | RR · Rental | $549.54 | $2,089.30 | $2,238.72 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $5,754.40 Typical High $11,748.98 | Professional | UE · Used equipment | $3,890.45 | $5,754.40 | $11,748.98 |
Health New England Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Health New England Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $660.69 | $660.69 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,479.11 Median $11,748.98 Typical High $34,673.69 | Facility | None | $1,479.11 | $11,748.98 | $34,673.69 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $1,174.90 Median $1,202.26 Typical High $3,715.35 | Facility | RR · Rental | $1,174.90 | $1,202.26 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None Typical Low $6,165.95 Median $9,772.37 Typical High $69,183.10 | Professional | None | $6,165.95 | $9,772.37 | $69,183.10 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $602.56 Median $1,479.11 Typical High $7,244.36 | Professional | RR · Rental | $602.56 | $1,479.11 | $7,244.36 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $7,413.10 Typical High $10,471.29 | Professional | UE · Used equipment | $3,890.45 | $7,413.10 | $10,471.29 |
United Setting Professional Modifier None Typical Low $5,128.61 Median $7,762.47 Typical High $15,488.17 | Professional | None | $5,128.61 | $7,762.47 | $15,488.17 |
United Setting Professional Modifier RR · Rental Typical Low $512.86 Median $776.25 Typical High $1,513.56 | Professional | RR · Rental | $512.86 | $776.25 | $1,513.56 |
United Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $5,754.40 Typical High $11,748.98 | Professional | UE · Used equipment | $3,890.45 | $5,754.40 | $11,748.98 |
Well Sense Setting Facility Modifier None Typical Low $10,471.29 Median $13,489.63 Typical High $23,988.33 | Facility | None | $10,471.29 | $13,489.63 | $23,988.33 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $7,762.47 Median $10,232.93 Typical High $17,782.79 | Facility | UE · Used equipment | $7,762.47 | $10,232.93 | $17,782.79 |
Well Sense Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $11,220.18 | Professional | None | $9,332.54 | $9,332.54 | $11,220.18 |
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 Professional Modifier KFRR · Class III device + Rental Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | KFRR · Class III device + Rental | $1,584.89 | $1,584.89 | $1,584.89 |
Mass General Brigham Setting Professional Modifier KFRR · Class III device + Rental Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | KFRR · Class III device + Rental | $1,584.89 | $1,584.89 | $1,584.89 |
Well Sense Setting Facility Modifier KF · Class III device Typical Low $12,882.50 Median $16,218.10 Typical High $30,199.52 | Facility | KF · Class III device | $12,882.50 | $16,218.10 | $30,199.52 |
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $776.25 Median $1,000.00 Typical High $1,819.70 | Facility | KJ · Rental month 4–15 | $776.25 | $1,000.00 | $1,819.70 |
Where Massachusetts sits
The same service costs 8.3 times more in North Dakota than in Washington. 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· 28th of 51
$9,772
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.