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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $446.68 | Professional | None | $102.33 | $102.33 | $446.68 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $77.62 Typical High $338.84 | Professional | UE · Used equipment | $77.62 | $77.62 | $338.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.39 Median $190.55 Typical High $588.84 | Facility | None | $22.39 | $190.55 | $588.84 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $22.39 Median $22.91 Typical High $75.86 | Facility | RR · Rental | $22.39 | $22.91 | $75.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $83.18 Median $186.21 Typical High $199.53 | Professional | None | $83.18 | $186.21 | $199.53 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $7.94 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $7.94 | $23.99 | $23.99 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $141.25 Typical High $147.91 | Professional | UE · Used equipment | $63.10 | $141.25 | $147.91 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $467.74 | Facility | None | $151.36 | $151.36 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $154.88 Typical High $154.88 | Facility | None | $138.04 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $288.40 | Professional | None | $131.83 | $154.88 | $288.40 |
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 $70.79 Median $125.89 Typical High $251.19 | Professional | None | $70.79 | $125.89 | $251.19 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $7.94 Median $11.75 Typical High $25.70 | Professional | RR · Rental | $7.94 | $11.75 | $25.70 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $93.33 Typical High $190.55 | Professional | UE · Used equipment | $52.48 | $93.33 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.39 Median $190.55 Typical High $588.84 | Facility | None | $22.39 | $190.55 | $588.84 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $22.39 Median $22.91 Typical High $75.86 | Facility | RR · Rental | $22.39 | $22.91 | $75.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $83.18 Median $186.21 Typical High $199.53 | Professional | None | $83.18 | $186.21 | $199.53 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $7.94 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $7.94 | $23.99 | $23.99 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $141.25 Typical High $147.91 | Professional | UE · Used equipment | $63.10 | $141.25 | $147.91 |
United Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $251.19 | Professional | None | $70.79 | $125.89 | $251.19 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $11.75 Typical High $22.91 | Professional | RR · Rental | $7.94 | $11.75 | $22.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $93.33 Typical High $190.55 | Professional | UE · Used equipment | $52.48 | $93.33 | $190.55 |
Well Sense Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $457.09 | Facility | None | $194.98 | $245.47 | $457.09 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $147.91 Median $186.21 Typical High $346.74 | Facility | UE · Used equipment | $147.91 | $186.21 | $346.74 |
1 more rate 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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $14.79 Median $18.62 Typical High $34.67 | Facility | KJ · Rental month 4–15 | $14.79 | $18.62 | $34.67 |
Where Massachusetts sits
The same service costs 16.2 times more in Kansas than in Rhode Island. 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· 9th of 51
$186
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.