How much rates vary
Facilitymedian $117 · 10th to 90th $83 to $209Professionalmedian $78 · 10th to 90th $43 to $89
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 $57.54 Median $57.54 Typical High $263.03 | Facility | None | $57.54 | $57.54 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $263.03 | Professional | None | $52.48 | $57.54 | $263.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $43.65 Typical High $199.53 | Professional | UE · Used equipment | $36.31 | $43.65 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $275.42 | Facility | None | $85.11 | $93.33 | $275.42 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $8.51 Median $9.55 Typical High $28.18 | Facility | RR · Rental | $8.51 | $9.55 | $28.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $89.13 | Professional | None | $42.66 | $89.13 | $89.13 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $4.17 Median $8.91 Typical High $8.91 | Professional | RR · Rental | $4.17 | $8.91 | $8.91 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $67.61 Typical High $67.61 | Professional | UE · Used equipment | $31.62 | $67.61 | $67.61 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $186.21 | Facility | None | $109.65 | $138.04 | $186.21 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | None | $77.62 | $77.62 | $81.28 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $6.92 Median $7.76 Typical High $7.76 | Professional | RR · Rental | $6.92 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $117.49 | Professional | None | $56.23 | $66.07 | $117.49 |
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 $32.36 Median $61.66 Typical High $112.20 | Professional | None | $32.36 | $61.66 | $112.20 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $3.09 Median $5.37 Typical High $10.96 | Professional | RR · Rental | $3.09 | $5.37 | $10.96 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $43.65 Typical High $83.18 | Professional | UE · Used equipment | $24.55 | $43.65 | $83.18 |
Health New England Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Health New England Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | RR · Rental | $5.01 | $5.01 | $5.01 |
Mass General Brigham Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $275.42 | Facility | None | $85.11 | $93.33 | $275.42 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $8.51 Median $9.55 Typical High $28.18 | Facility | RR · Rental | $8.51 | $9.55 | $28.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $89.13 | Professional | None | $42.66 | $89.13 | $89.13 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $4.17 Median $8.91 Typical High $8.91 | Professional | RR · Rental | $4.17 | $8.91 | $8.91 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $67.61 Typical High $67.61 | Professional | UE · Used equipment | $31.62 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $32.36 Median $61.66 Typical High $112.20 | Professional | None | $32.36 | $61.66 | $112.20 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $5.37 Typical High $8.91 | Professional | RR · Rental | $3.09 | $5.37 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $43.65 Typical High $70.79 | Professional | UE · Used equipment | $24.55 | $43.65 | $70.79 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $199.53 | Facility | None | $85.11 | $107.15 | $199.53 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $8.51 Median $10.72 Typical High $19.95 | Facility | RR · Rental | $8.51 | $10.72 | $19.95 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $63.10 Median $81.28 Typical High $147.91 | Facility | UE · Used equipment | $63.10 | $81.28 | $147.91 |
7 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 KUNU · Bidding program group 3 + New equipment Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KUNU · Bidding program group 3 + New equipment | $134.90 | $134.90 | $134.90 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | KURR · Bidding program group 3 + Rental | $11.22 | $11.22 | $11.22 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | KUUE · Bidding program group 3 + Used equipment | $102.33 | $102.33 | $102.33 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KUNU · Bidding program group 3 + New equipment | $134.90 | $134.90 | $134.90 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | KURR · Bidding program group 3 + Rental | $11.22 | $11.22 | $11.22 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | KUUE · Bidding program group 3 + Used equipment | $102.33 | $102.33 | $102.33 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $128.82 Median $169.82 Typical High $302.00 | Facility | KU · Bidding program group 3 | $128.82 | $169.82 | $302.00 |
Where Massachusetts sits
The same service costs 3.5 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
$85.11
HI $170NM $47.86
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.