How much rates vary
Facilitymedian $74 · 10th to 90th $51 to $126Professionalmedian $44 · 10th to 90th $23 to $58
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 $26.92 Median $26.92 Typical High $123.03 | Facility | None | $26.92 | $26.92 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $97.72 | Professional | None | $26.30 | $26.92 | $97.72 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $20.42 Typical High $74.13 | Professional | UE · Used equipment | $19.50 | $20.42 | $74.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $54.95 Typical High $177.83 | Facility | None | $51.29 | $54.95 | $177.83 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $16.98 | Facility | RR · Rental | $5.13 | $5.13 | $16.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $22.91 Median $57.54 Typical High $57.54 | Professional | None | $22.91 | $57.54 | $57.54 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.29 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $2.29 | $5.37 | $5.37 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $17.38 | $43.65 | $43.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $74.13 Median $85.11 Typical High $114.82 | Facility | None | $74.13 | $85.11 | $114.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | None | $43.65 | $48.98 | $48.98 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $3.89 Median $4.79 Typical High $4.79 | Professional | RR · Rental | $3.89 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $38.90 | Facility | None | $36.31 | $36.31 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $60.26 | Professional | None | $30.90 | $36.31 | $60.26 |
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 $19.05 Median $30.90 Typical High $54.95 | Professional | None | $19.05 | $30.90 | $54.95 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.69 Typical High $6.03 | Professional | RR · Rental | $1.78 | $2.69 | $6.03 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $21.88 Typical High $45.71 | Professional | UE · Used equipment | $14.13 | $21.88 | $45.71 |
Health New England Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Health New England Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | RR · Rental | $3.39 | $3.39 | $3.39 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $54.95 Typical High $177.83 | Facility | None | $51.29 | $54.95 | $177.83 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $16.98 | Facility | RR · Rental | $5.13 | $5.13 | $16.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $22.91 Median $57.54 Typical High $57.54 | Professional | None | $22.91 | $57.54 | $57.54 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.29 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $2.29 | $5.37 | $5.37 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $17.38 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $19.05 Median $30.90 Typical High $54.95 | Professional | None | $19.05 | $30.90 | $54.95 |
United Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.69 Typical High $5.13 | Professional | RR · Rental | $1.78 | $2.69 | $5.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $21.88 Typical High $40.74 | Professional | UE · Used equipment | $14.13 | $21.88 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $70.79 Typical High $125.89 | Facility | None | $54.95 | $70.79 | $125.89 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $5.13 Median $6.61 Typical High $12.02 | Facility | RR · Rental | $5.13 | $6.61 | $12.02 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $40.74 Median $53.70 Typical High $93.33 | Facility | UE · Used equipment | $40.74 | $53.70 | $93.33 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | KENU · Bid item, non-bid base + New equipment | $64.57 | $64.57 | $64.57 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | KERR · Bid item, non-bid base + Rental | $5.75 | $5.75 | $5.75 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | KEUE · Bid item, non-bid base + Used equipment | $48.98 | $48.98 | $48.98 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KUNU · Bidding program group 3 + New equipment | $63.10 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | KURR · Bidding program group 3 + Rental | $5.37 | $5.37 | $5.37 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $47.86 | $47.86 | $47.86 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KENU · Bid item, non-bid base + New equipment | $64.57 | $64.57 | $64.57 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | KERR · Bid item, non-bid base + Rental | $5.75 | $5.75 | $5.75 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | KEUE · Bid item, non-bid base + Used equipment | $48.98 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KUNU · Bidding program group 3 + New equipment | $63.10 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | KURR · Bidding program group 3 + Rental | $5.37 | $5.37 | $5.37 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $47.86 | $47.86 | $47.86 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $60.26 Median $77.62 Typical High $141.25 | Facility | KU · Bidding program group 3 | $60.26 | $77.62 | $141.25 |
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
$48.98
KS $61.66NM $26.30
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.