How much rates vary
Facilitymedian $224 · 10th to 90th $27 to $708Professionalmedian $162 · 10th to 90th $93 to $214
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 $123.03 Median $123.03 Typical High $562.34 | Facility | None | $123.03 | $123.03 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $446.68 | Professional | None | $120.23 | $123.03 | $446.68 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $331.13 | Professional | UE · Used equipment | $93.33 | $93.33 | $331.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $26.92 Median $223.87 Typical High $660.69 | Facility | None | $26.92 | $223.87 | $660.69 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $23.99 Median $25.12 Typical High $85.11 | Facility | RR · Rental | $23.99 | $25.12 | $85.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $93.33 Median $213.80 Typical High $213.80 | Professional | None | $93.33 | $213.80 | $213.80 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $9.12 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $9.12 | $26.92 | $26.92 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $69.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $309.03 | Professional | None | $147.91 | $173.78 | $309.03 |
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 $91.20 Median $138.04 Typical High $229.09 | Professional | None | $91.20 | $138.04 | $229.09 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $8.71 Median $14.13 Typical High $28.84 | Professional | RR · Rental | $8.71 | $14.13 | $28.84 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $104.71 Typical High $218.78 | Professional | UE · Used equipment | $67.61 | $104.71 | $218.78 |
Health New England Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Health New England Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Mass General Brigham Setting Facility Modifier None Typical Low $26.92 Median $223.87 Typical High $660.69 | Facility | None | $26.92 | $223.87 | $660.69 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $23.99 Median $25.12 Typical High $85.11 | Facility | RR · Rental | $23.99 | $25.12 | $85.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $93.33 Median $213.80 Typical High $213.80 | Professional | None | $93.33 | $213.80 | $213.80 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $9.12 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $9.12 | $26.92 | $26.92 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $69.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $213.80 | Professional | None | $91.20 | $138.04 | $213.80 |
United Setting Professional Modifier RR · Rental Typical Low $8.71 Median $14.13 Typical High $25.12 | Professional | RR · Rental | $8.71 | $14.13 | $25.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $104.71 Typical High $162.18 | Professional | UE · Used equipment | $67.61 | $104.71 | $162.18 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $245.47 | Facility | None | $186.21 | $186.21 | $245.47 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | KURR · Bidding program group 3 + Rental | $28.84 | $28.84 | $28.84 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | KURR · Bidding program group 3 + Rental | $28.84 | $28.84 | $28.84 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $213.80 Median $281.84 Typical High $501.19 | Facility | KU · Bidding program group 3 | $213.80 | $281.84 | $501.19 |
Where Massachusetts sits
The same service costs 2.6 times more in North Dakota than in Washington. 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
$174
ND $302WA $117
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.