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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $389.05 | Professional | None | $173.78 | $223.87 | $389.05 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $169.82 Typical High $741.31 | Professional | UE · Used equipment | $162.18 | $169.82 | $741.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $48.98 Median $436.52 Typical High $1,621.81 | Facility | None | $48.98 | $436.52 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $154.88 | Facility | RR · Rental | $46.77 | $46.77 | $154.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $165.96 Median $407.38 Typical High $407.38 | Professional | None | $165.96 | $407.38 | $407.38 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $19.50 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $19.50 | $48.98 | $48.98 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $309.03 Typical High $309.03 | Professional | UE · Used equipment | $123.03 | $309.03 | $309.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,023.29 | Facility | None | $331.13 | $331.13 | $1,023.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $416.87 | Professional | None | $316.23 | $416.87 | $416.87 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $31.62 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $31.62 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $467.74 | Facility | None | $234.42 | $239.88 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $616.60 | Professional | None | $204.17 | $239.88 | $616.60 |
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 $134.90 Median $223.87 Typical High $436.52 | Professional | None | $134.90 | $223.87 | $436.52 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $15.85 Median $25.70 Typical High $57.54 | Professional | RR · Rental | $15.85 | $25.70 | $57.54 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $154.88 Typical High $371.54 | Professional | UE · Used equipment | $102.33 | $154.88 | $371.54 |
Health New England Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Health New England Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | RR · Rental | $22.91 | $22.91 | $22.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $48.98 Median $436.52 Typical High $1,621.81 | Facility | None | $48.98 | $436.52 | $1,621.81 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $154.88 | Facility | RR · Rental | $46.77 | $46.77 | $154.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $165.96 Median $407.38 Typical High $407.38 | Professional | None | $165.96 | $407.38 | $407.38 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $19.50 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $19.50 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $309.03 Typical High $309.03 | Professional | UE · Used equipment | $123.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $467.74 | Professional | None | $134.90 | $223.87 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $15.85 Median $25.70 Typical High $46.77 | Professional | RR · Rental | $15.85 | $25.70 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $154.88 Typical High $331.13 | Professional | UE · Used equipment | $102.33 | $154.88 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $467.74 | Facility | None | $354.81 | $354.81 | $467.74 |
3 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 KURR · Bidding program group 3 + Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KURR · Bidding program group 3 + Rental | $52.48 | $52.48 | $52.48 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KURR · Bidding program group 3 + Rental | $52.48 | $52.48 | $52.48 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $398.11 Median $512.86 Typical High $912.01 | Facility | KU · Bidding program group 3 | $398.11 | $512.86 | $912.01 |
Where Massachusetts sits
The same service costs 12.3 times more in Kansas than in Mississippi. 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· 22nd of 51
$339
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.