How much rates vary
Facilitymedian $54 · 10th to 90th $42 to $155Professionalmedian $40 · 10th to 90th $21 to $52
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 $24.55 Median $24.55 Typical High $112.20 | Facility | None | $24.55 | $24.55 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $112.20 | Professional | None | $24.55 | $24.55 | $112.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.62 Typical High $67.61 | Professional | UE · Used equipment | $18.20 | $18.62 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $158.49 | Facility | None | $46.77 | $50.12 | $158.49 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $4.68 Median $4.79 Typical High $15.85 | Facility | RR · Rental | $4.68 | $4.79 | $15.85 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $52.48 Typical High $52.48 | Professional | None | $20.89 | $52.48 | $52.48 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.14 Median $5.01 Typical High $5.01 | Professional | RR · Rental | $2.14 | $5.01 | $5.01 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $15.85 | $38.90 | $38.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | None | $39.81 | $44.67 | $44.67 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $3.63 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $3.63 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Facility | None | $33.11 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $56.23 | Professional | None | $28.18 | $33.11 | $56.23 |
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 $16.98 Median $28.18 Typical High $48.98 | Professional | None | $16.98 | $28.18 | $48.98 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.62 Median $2.51 Typical High $5.50 | Professional | RR · Rental | $1.62 | $2.51 | $5.50 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $19.95 Typical High $41.69 | Professional | UE · Used equipment | $12.88 | $19.95 | $41.69 |
Health New England Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Health New England Setting Professional Modifier RR · Rental Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | RR · Rental | $2.82 | $2.82 | $2.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $158.49 | Facility | None | $46.77 | $50.12 | $158.49 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $4.68 Median $4.79 Typical High $15.85 | Facility | RR · Rental | $4.68 | $4.79 | $15.85 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $52.48 Typical High $52.48 | Professional | None | $20.89 | $52.48 | $52.48 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.14 Median $5.01 Typical High $5.01 | Professional | RR · Rental | $2.14 | $5.01 | $5.01 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $15.85 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $77.62 | Professional | None | $16.98 | $28.18 | $77.62 |
United Setting Professional Modifier RR · Rental Typical Low $1.62 Median $2.51 Typical High $4.79 | Professional | RR · Rental | $1.62 | $2.51 | $4.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $19.95 Typical High $37.15 | Professional | UE · Used equipment | $12.88 | $19.95 | $37.15 |
Well Sense Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $114.82 | Facility | None | $48.98 | $64.57 | $114.82 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $37.15 Median $47.86 Typical High $83.18 | Facility | UE · Used equipment | $37.15 | $47.86 | $83.18 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | KENU · Bid item, non-bid base + New equipment | $58.88 | $58.88 | $58.88 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | KERR · Bid item, non-bid base + Rental | $5.37 | $5.37 | $5.37 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KEUE · Bid item, non-bid base + Used equipment | $44.67 | $44.67 | $44.67 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KUNU · Bidding program group 3 + New equipment | $57.54 | $57.54 | $57.54 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | KURR · Bidding program group 3 + Rental | $5.01 | $5.01 | $5.01 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KUUE · Bidding program group 3 + Used equipment | $43.65 | $43.65 | $43.65 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | KENU · Bid item, non-bid base + New equipment | $58.88 | $58.88 | $58.88 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | KERR · Bid item, non-bid base + Rental | $5.37 | $5.37 | $5.37 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KEUE · Bid item, non-bid base + Used equipment | $44.67 | $44.67 | $44.67 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KUNU · Bidding program group 3 + New equipment | $57.54 | $57.54 | $57.54 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | KURR · Bidding program group 3 + Rental | $5.01 | $5.01 | $5.01 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KUUE · Bidding program group 3 + Used equipment | $43.65 | $43.65 | $43.65 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $54.95 Median $69.18 Typical High $128.82 | Facility | KU · Bidding program group 3 | $54.95 | $69.18 | $128.82 |
Where Massachusetts sits
The same service costs 2.3 times more in Kansas 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· 11th of 51
$44.67
KS $54.95NM $23.99
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.