How much rates vary
Facilitymedian $115 · 10th to 90th $76 to $209Professionalmedian $79 · 10th to 90th $46 to $102
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 $61.66 Median $61.66 Typical High $281.84 | Facility | None | $61.66 | $61.66 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $165.96 | Professional | None | $44.67 | $61.66 | $165.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $47.86 Typical High $154.88 | Professional | UE · Used equipment | $35.48 | $47.86 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $245.47 | Facility | None | $75.86 | $81.28 | $245.47 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $7.59 Median $8.13 Typical High $25.12 | Facility | RR · Rental | $7.59 | $8.13 | $25.12 |
AllWays Health Partners Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $100.00 | Professional | None | $45.71 | $79.43 | $100.00 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $4.79 Median $7.94 Typical High $10.47 | Professional | RR · Rental | $4.79 | $7.94 | $10.47 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $58.88 Typical High $74.13 | Professional | UE · Used equipment | $34.67 | $58.88 | $74.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $186.21 | Facility | None | $112.20 | $138.04 | $186.21 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | None | $67.61 | $67.61 | $100.00 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $11.22 | Professional | RR · Rental | $6.76 | $6.76 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $87.10 | Facility | None | $57.54 | $57.54 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $102.33 | Professional | None | $48.98 | $57.54 | $102.33 |
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 $30.90 Median $67.61 Typical High $117.49 | Professional | None | $30.90 | $67.61 | $117.49 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $3.24 Median $6.17 Typical High $12.02 | Professional | RR · Rental | $3.24 | $6.17 | $12.02 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $44.67 Typical High $89.13 | Professional | UE · Used equipment | $23.44 | $44.67 | $89.13 |
Health New England Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Health New England Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | RR · Rental | $6.17 | $6.17 | $6.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $245.47 | Facility | None | $75.86 | $81.28 | $245.47 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $7.59 Median $8.13 Typical High $25.12 | Facility | RR · Rental | $7.59 | $8.13 | $25.12 |
Mass General Brigham Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $100.00 | Professional | None | $45.71 | $79.43 | $100.00 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $4.79 Median $7.94 Typical High $10.47 | Professional | RR · Rental | $4.79 | $7.94 | $10.47 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $58.88 Typical High $74.13 | Professional | UE · Used equipment | $34.67 | $58.88 | $74.13 |
United Setting Professional Modifier None Typical Low $30.90 Median $67.61 Typical High $117.49 | Professional | None | $30.90 | $67.61 | $117.49 |
United Setting Professional Modifier RR · Rental Typical Low $3.24 Median $6.17 Typical High $12.02 | Professional | RR · Rental | $3.24 | $6.17 | $12.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $44.67 Typical High $89.13 | Professional | UE · Used equipment | $23.44 | $44.67 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $97.72 Typical High $173.78 | Facility | None | $75.86 | $97.72 | $173.78 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $7.59 Median $9.55 Typical High $17.38 | Facility | RR · Rental | $7.59 | $9.55 | $17.38 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $56.23 Median $74.13 Typical High $128.82 | Facility | UE · Used equipment | $56.23 | $74.13 | $128.82 |
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 $128.82 Median $128.82 Typical High $128.82 | Professional | KENU · Bid item, non-bid base + New equipment | $128.82 | $128.82 | $128.82 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | KERR · Bid item, non-bid base + Rental | $14.13 | $14.13 | $14.13 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KEUE · Bid item, non-bid base + Used equipment | $100.00 | $100.00 | $100.00 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KUNU · Bidding program group 3 + New equipment | $144.54 | $144.54 | $144.54 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | KURR · Bidding program group 3 + Rental | $16.22 | $16.22 | $16.22 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KUUE · Bidding program group 3 + Used equipment | $112.20 | $112.20 | $112.20 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | KENU · Bid item, non-bid base + New equipment | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | KERR · Bid item, non-bid base + Rental | $14.13 | $14.13 | $14.13 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KEUE · Bid item, non-bid base + Used equipment | $100.00 | $100.00 | $100.00 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KUNU · Bidding program group 3 + New equipment | $144.54 | $144.54 | $144.54 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | KURR · Bidding program group 3 + Rental | $16.22 | $16.22 | $16.22 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KUUE · Bidding program group 3 + Used equipment | $112.20 | $112.20 | $112.20 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $138.04 Median $173.78 Typical High $323.59 | Facility | KU · Bidding program group 3 | $138.04 | $173.78 | $323.59 |
Where Massachusetts sits
The same service costs 3.7 times more in Hawaii 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· 13th of 51
$79.43
HI $166NM $44.67
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.