How much rates vary
Facilitymedian $151 · 10th to 90th $102 to $427Professionalmedian $117 · 10th to 90th $62 to $148
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 $72.44 Median $72.44 Typical High $331.13 | Facility | None | $72.44 | $72.44 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $331.13 | Professional | None | $54.95 | $72.44 | $331.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $54.95 Typical High $186.21 | Professional | UE · Used equipment | $41.69 | $54.95 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $446.68 | Facility | None | $134.90 | $141.25 | $446.68 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $13.49 Median $13.80 Typical High $46.77 | Facility | RR · Rental | $13.49 | $13.80 | $46.77 |
AllWays Health Partners Setting Professional Modifier None Typical Low $61.66 Median $147.91 Typical High $147.91 | Professional | None | $61.66 | $147.91 | $147.91 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $6.17 Median $14.79 Typical High $14.79 | Professional | RR · Rental | $6.17 | $14.79 | $14.79 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $109.65 Typical High $109.65 | Professional | UE · Used equipment | $45.71 | $109.65 | $109.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | None | $117.49 | $125.89 | $125.89 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.02 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Facility | None | $95.50 | $95.50 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $165.96 | Professional | None | $81.28 | $95.50 | $165.96 |
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 $48.98 Median $89.13 Typical High $138.04 | Professional | None | $48.98 | $89.13 | $138.04 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $4.90 Median $7.94 Typical High $16.60 | Professional | RR · Rental | $4.90 | $7.94 | $16.60 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $60.26 Typical High $123.03 | Professional | UE · Used equipment | $36.31 | $60.26 | $123.03 |
Health New England Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Health New England Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $8.51 | $8.51 | $8.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $446.68 | Facility | None | $134.90 | $141.25 | $446.68 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $13.49 Median $13.80 Typical High $46.77 | Facility | RR · Rental | $13.49 | $13.80 | $46.77 |
Mass General Brigham Setting Professional Modifier None Typical Low $61.66 Median $147.91 Typical High $147.91 | Professional | None | $61.66 | $147.91 | $147.91 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $6.17 Median $14.79 Typical High $14.79 | Professional | RR · Rental | $6.17 | $14.79 | $14.79 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $109.65 Typical High $109.65 | Professional | UE · Used equipment | $45.71 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $48.98 Median $89.13 Typical High $138.04 | Professional | None | $48.98 | $89.13 | $138.04 |
United Setting Professional Modifier RR · Rental Typical Low $4.90 Median $7.94 Typical High $13.80 | Professional | RR · Rental | $4.90 | $7.94 | $13.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $60.26 Typical High $104.71 | Professional | UE · Used equipment | $36.31 | $60.26 | $104.71 |
Well Sense Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $323.59 | Facility | None | $138.04 | $173.78 | $323.59 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $13.80 Median $17.38 Typical High $32.36 | Facility | RR · Rental | $13.80 | $17.38 | $32.36 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $104.71 Median $131.83 Typical High $245.47 | Facility | UE · Used equipment | $104.71 | $131.83 | $245.47 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | KENU · Bid item, non-bid base + New equipment | $177.83 | $177.83 | $177.83 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | KERR · Bid item, non-bid base + Rental | $17.78 | $17.78 | $17.78 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KEUE · Bid item, non-bid base + Used equipment | $134.90 | $134.90 | $134.90 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | KUNU · Bidding program group 3 + New equipment | $169.82 | $169.82 | $169.82 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | KURR · Bidding program group 3 + Rental | $16.98 | $16.98 | $16.98 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KUUE · Bidding program group 3 + Used equipment | $125.89 | $125.89 | $125.89 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | KENU · Bid item, non-bid base + New equipment | $177.83 | $177.83 | $177.83 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | KERR · Bid item, non-bid base + Rental | $17.78 | $17.78 | $17.78 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KEUE · Bid item, non-bid base + Used equipment | $134.90 | $134.90 | $134.90 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | KUNU · Bidding program group 3 + New equipment | $169.82 | $169.82 | $169.82 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | KURR · Bidding program group 3 + Rental | $16.98 | $16.98 | $16.98 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KUUE · Bidding program group 3 + Used equipment | $125.89 | $125.89 | $125.89 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $162.18 Median $204.17 Typical High $380.19 | Facility | KU · Bidding program group 3 | $162.18 | $204.17 | $380.19 |
Where Massachusetts sits
The same service costs 2.5 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· 12th of 51
$126
HI $178NM $70.79
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.