How much rates vary
Facilitymedian $87 · 10th to 90th $56 to $251Professionalmedian $60 · 10th to 90th $32 to $85
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 $43.65 Median $43.65 Typical High $199.53 | Facility | None | $43.65 | $43.65 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $181.97 | Professional | None | $30.90 | $43.65 | $181.97 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $32.36 Typical High $138.04 | Professional | UE · Used equipment | $22.91 | $32.36 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $263.03 | Facility | None | $79.43 | $85.11 | $263.03 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $7.94 Median $8.13 Typical High $26.92 | Facility | RR · Rental | $7.94 | $8.13 | $26.92 |
AllWays Health Partners Setting Professional Modifier None Typical Low $31.62 Median $85.11 Typical High $85.11 | Professional | None | $31.62 | $85.11 | $85.11 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $3.16 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $3.16 | $8.51 | $8.51 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $64.57 Typical High $64.57 | Professional | UE · Used equipment | $23.99 | $64.57 | $64.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $194.98 | Facility | None | $64.57 | $64.57 | $194.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | None | $60.26 | $72.44 | $72.44 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $5.62 Median $7.24 Typical High $7.24 | Professional | RR · Rental | $5.62 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $74.13 | Facility | None | $35.48 | $35.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $104.71 | Professional | None | $30.20 | $35.48 | $104.71 |
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 $28.84 Median $47.86 Typical High $81.28 | Professional | None | $28.84 | $47.86 | $81.28 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $2.82 Median $4.57 Typical High $9.12 | Professional | RR · Rental | $2.82 | $4.57 | $9.12 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $35.48 Typical High $69.18 | Professional | UE · Used equipment | $21.38 | $35.48 | $69.18 |
Health New England Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Health New England Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $4.37 | $4.37 | $4.37 |
Mass General Brigham Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $263.03 | Facility | None | $79.43 | $85.11 | $263.03 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $7.94 Median $8.13 Typical High $26.92 | Facility | RR · Rental | $7.94 | $8.13 | $26.92 |
Mass General Brigham Setting Professional Modifier None Typical Low $31.62 Median $85.11 Typical High $85.11 | Professional | None | $31.62 | $85.11 | $85.11 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $3.16 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $3.16 | $8.51 | $8.51 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $64.57 Typical High $64.57 | Professional | UE · Used equipment | $23.99 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $81.28 | Professional | None | $28.84 | $47.86 | $81.28 |
United Setting Professional Modifier RR · Rental Typical Low $2.82 Median $4.57 Typical High $8.13 | Professional | RR · Rental | $2.82 | $4.57 | $8.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $35.48 Typical High $60.26 | Professional | UE · Used equipment | $21.38 | $35.48 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $190.55 | Facility | None | $81.28 | $102.33 | $190.55 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $8.13 Median $10.23 Typical High $19.05 | Facility | RR · Rental | $8.13 | $10.23 | $19.05 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $60.26 Median $75.86 Typical High $141.25 | Facility | UE · Used equipment | $60.26 | $75.86 | $141.25 |
7 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 KUNU · Bidding program group 3 + New equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | KUNU · Bidding program group 3 + New equipment | $102.33 | $102.33 | $102.33 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | KURR · Bidding program group 3 + Rental | $9.33 | $9.33 | $9.33 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $75.86 | $75.86 | $75.86 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | KUNU · Bidding program group 3 + New equipment | $102.33 | $102.33 | $102.33 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | KURR · Bidding program group 3 + Rental | $9.33 | $9.33 | $9.33 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $75.86 | $75.86 | $75.86 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $97.72 Median $123.03 Typical High $229.09 | Facility | KU · Bidding program group 3 | $97.72 | $123.03 | $229.09 |
Where Massachusetts sits
The same service costs 3.2 times more in Hawaii than in Texas. 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
$72.44
HI $112TX $35.48
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.