How much rates vary
Facilitymedian $129 · 10th to 90th $25 to $479Professionalmedian $162 · 10th to 90th $85 to $191
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 $107.15 Median $107.15 Typical High $489.78 | Facility | None | $107.15 | $107.15 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $354.81 | Professional | None | $79.43 | $107.15 | $354.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $79.43 Typical High $263.03 | Professional | UE · Used equipment | $60.26 | $79.43 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.91 Median $162.18 Typical High $478.63 | Facility | None | $22.91 | $162.18 | $478.63 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $16.22 Median $16.98 Typical High $57.54 | Facility | RR · Rental | $16.22 | $16.98 | $57.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $186.21 | Professional | None | $85.11 | $162.18 | $186.21 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $9.12 Median $18.20 Typical High $18.20 | Professional | RR · Rental | $9.12 | $18.20 | $18.20 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $120.23 Typical High $138.04 | Professional | UE · Used equipment | $64.57 | $120.23 | $138.04 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $28.84 Typical High $38.02 | Facility | None | $25.12 | $28.84 | $38.02 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | None | $154.88 | $154.88 | $173.78 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | RR · Rental | $15.49 | $15.49 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $138.04 | Facility | None | $128.82 | $128.82 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $204.17 | Professional | None | $109.65 | $128.82 | $204.17 |
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 $63.10 Median $117.49 Typical High $204.17 | Professional | None | $63.10 | $117.49 | $204.17 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $6.31 Median $11.22 Typical High $22.39 | Professional | RR · Rental | $6.31 | $11.22 | $22.39 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $74.13 Typical High $151.36 | Professional | UE · Used equipment | $47.86 | $74.13 | $151.36 |
Health New England Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Health New England 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 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.91 Median $162.18 Typical High $478.63 | Facility | None | $22.91 | $162.18 | $478.63 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $16.22 Median $16.98 Typical High $57.54 | Facility | RR · Rental | $16.22 | $16.98 | $57.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $186.21 | Professional | None | $85.11 | $162.18 | $186.21 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $9.12 Median $18.20 Typical High $18.20 | Professional | RR · Rental | $9.12 | $18.20 | $18.20 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $120.23 Typical High $138.04 | Professional | UE · Used equipment | $64.57 | $120.23 | $138.04 |
United Setting Professional Modifier None Typical Low $63.10 Median $117.49 Typical High $204.17 | Professional | None | $63.10 | $117.49 | $204.17 |
United Setting Professional Modifier RR · Rental Typical Low $6.31 Median $11.22 Typical High $20.42 | Professional | RR · Rental | $6.31 | $11.22 | $20.42 |
United Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $74.13 Typical High $151.36 | Professional | UE · Used equipment | $47.86 | $74.13 | $151.36 |
Well Sense Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $234.42 | Facility | None | $208.93 | $208.93 | $234.42 |
5 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 KERR · Bid item, non-bid base + Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KERR · Bid item, non-bid base + Rental | $23.99 | $23.99 | $23.99 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | KURR · Bidding program group 3 + Rental | $24.55 | $24.55 | $24.55 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KERR · Bid item, non-bid base + Rental | $23.99 | $23.99 | $23.99 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | KURR · Bidding program group 3 + Rental | $24.55 | $24.55 | $24.55 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $144.54 Median $190.55 Typical High $338.84 | Facility | KU · Bidding program group 3 | $144.54 | $190.55 | $338.84 |
Where Massachusetts sits
The same service costs 2.8 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· 13th of 51
$155
HI $224NM $79.43
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.