How much rates vary
Facilitymedian $19 · 10th to 90th $14 to $42Professionalmedian $13 · 10th to 90th $8 to $16
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 $8.91 Median $8.91 Typical High $40.74 | Facility | None | $8.91 | $8.91 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $25.70 | Professional | None | $7.24 | $8.91 | $25.70 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $6.76 Typical High $23.99 | Professional | UE · Used equipment | $5.50 | $6.76 | $23.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.13 Median $15.49 Typical High $45.71 | Facility | None | $14.13 | $15.49 | $45.71 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $1.41 Median $1.55 Typical High $4.68 | Facility | RR · Rental | $1.41 | $1.55 | $4.68 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.94 Median $15.14 Typical High $15.49 | Professional | None | $7.94 | $15.14 | $15.49 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $0.83 Median $1.51 Typical High $1.58 | Professional | RR · Rental | $0.83 | $1.51 | $1.58 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $11.22 Typical High $11.48 | Professional | UE · Used equipment | $5.89 | $11.22 | $11.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.05 Median $23.99 Typical High $32.36 | Facility | None | $19.05 | $23.99 | $32.36 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | None | $12.88 | $12.88 | $14.45 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.29 Typical High $1.66 | Professional | RR · Rental | $1.29 | $1.29 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Facility | None | $10.96 | $10.96 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $18.62 | Professional | None | $9.33 | $10.96 | $18.62 |
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 $5.25 Median $10.96 Typical High $18.62 | Professional | None | $5.25 | $10.96 | $18.62 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $0.55 Median $1.00 Typical High $2.04 | Professional | RR · Rental | $0.55 | $1.00 | $2.04 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $7.08 Typical High $15.49 | Professional | UE · Used equipment | $3.98 | $7.08 | $15.49 |
Health New England Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Health New England Setting Professional Modifier RR · Rental Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | RR · Rental | $0.69 | $0.69 | $0.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.13 Median $15.49 Typical High $45.71 | Facility | None | $14.13 | $15.49 | $45.71 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $1.41 Median $1.55 Typical High $4.68 | Facility | RR · Rental | $1.41 | $1.55 | $4.68 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.94 Median $15.14 Typical High $15.49 | Professional | None | $7.94 | $15.14 | $15.49 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $0.83 Median $1.51 Typical High $1.58 | Professional | RR · Rental | $0.83 | $1.51 | $1.58 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $11.22 Typical High $11.48 | Professional | UE · Used equipment | $5.89 | $11.22 | $11.48 |
United Setting Professional Modifier None Typical Low $5.25 Median $10.96 Typical High $18.62 | Professional | None | $5.25 | $10.96 | $18.62 |
United Setting Professional Modifier RR · Rental Typical Low $0.55 Median $1.00 Typical High $1.95 | Professional | RR · Rental | $0.55 | $1.00 | $1.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $7.08 Typical High $13.80 | Professional | UE · Used equipment | $3.98 | $7.08 | $13.80 |
Well Sense Setting Facility Modifier None Typical Low $14.13 Median $18.20 Typical High $33.11 | Facility | None | $14.13 | $18.20 | $33.11 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $1.41 Median $1.78 Typical High $3.31 | Facility | RR · Rental | $1.41 | $1.78 | $3.31 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $10.72 Median $13.49 Typical High $24.55 | Facility | UE · Used equipment | $10.72 | $13.49 | $24.55 |
13 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 KENU · Bid item, non-bid base + New equipment Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KENU · Bid item, non-bid base + New equipment | $20.89 | $20.89 | $20.89 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | KERR · Bid item, non-bid base + Rental | $2.24 | $2.24 | $2.24 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | KEUE · Bid item, non-bid base + Used equipment | $15.49 | $15.49 | $15.49 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KUNU · Bidding program group 3 + New equipment | $20.89 | $20.89 | $20.89 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | KURR · Bidding program group 3 + Rental | $2.40 | $2.40 | $2.40 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | KUUE · Bidding program group 3 + Used equipment | $15.85 | $15.85 | $15.85 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KENU · Bid item, non-bid base + New equipment | $20.89 | $20.89 | $20.89 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | KERR · Bid item, non-bid base + Rental | $2.24 | $2.24 | $2.24 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | KEUE · Bid item, non-bid base + Used equipment | $15.49 | $15.49 | $15.49 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KUNU · Bidding program group 3 + New equipment | $20.89 | $20.89 | $20.89 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | KURR · Bidding program group 3 + Rental | $2.40 | $2.40 | $2.40 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | KUUE · Bidding program group 3 + Used equipment | $15.85 | $15.85 | $15.85 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $19.95 Median $25.12 Typical High $46.77 | Facility | KU · Bidding program group 3 | $19.95 | $25.12 | $46.77 |
Where Massachusetts sits
The same service costs 5.0 times more in Hawaii than in New Mexico. 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· 15th of 51
$14.45
HI $38.90NM $7.76
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.