How much rates vary
Facilitymedian $32 · 10th to 90th $23 to $93Professionalmedian $22 · 10th to 90th $13 to $32
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 $13.49 Median $13.49 Typical High $61.66 | Facility | None | $13.49 | $13.49 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $61.66 | Professional | None | $13.49 | $13.49 | $61.66 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $10.23 Typical High $46.77 | Professional | UE · Used equipment | $9.77 | $10.23 | $46.77 |
AllWays Health Partners Setting Facility Modifier None Typical Low $30.20 Median $30.90 Typical High $97.72 | Facility | None | $30.20 | $30.90 | $97.72 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $3.09 Median $3.16 Typical High $10.23 | Facility | RR · Rental | $3.09 | $3.16 | $10.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.49 Median $31.62 Typical High $31.62 | Professional | None | $13.49 | $31.62 | $31.62 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $1.35 Median $3.24 Typical High $3.24 | Professional | RR · Rental | $1.35 | $3.24 | $3.24 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $23.99 Typical High $23.99 | Professional | UE · Used equipment | $10.23 | $23.99 | $23.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $70.79 | Facility | None | $23.44 | $23.44 | $70.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $28.84 | Professional | None | $21.88 | $28.84 | $28.84 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.95 Typical High $2.95 | Professional | RR · Rental | $2.34 | $2.95 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Facility | None | $21.88 | $21.88 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $37.15 | Professional | None | $18.62 | $21.88 | $37.15 |
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 $10.23 Median $18.20 Typical High $32.36 | Professional | None | $10.23 | $18.20 | $32.36 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.58 Typical High $3.24 | Professional | RR · Rental | $1.07 | $1.58 | $3.24 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $12.02 Typical High $24.55 | Professional | UE · Used equipment | $7.76 | $12.02 | $24.55 |
Health New England Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Health New England Setting Professional Modifier RR · Rental Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | RR · Rental | $1.86 | $1.86 | $1.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $30.20 Median $30.90 Typical High $97.72 | Facility | None | $30.20 | $30.90 | $97.72 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $3.09 Median $3.16 Typical High $10.23 | Facility | RR · Rental | $3.09 | $3.16 | $10.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.49 Median $31.62 Typical High $31.62 | Professional | None | $13.49 | $31.62 | $31.62 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $1.35 Median $3.24 Typical High $3.24 | Professional | RR · Rental | $1.35 | $3.24 | $3.24 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $23.99 Typical High $23.99 | Professional | UE · Used equipment | $10.23 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $32.36 | Professional | None | $10.23 | $18.20 | $32.36 |
United Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.58 Typical High $3.16 | Professional | RR · Rental | $1.07 | $1.58 | $3.16 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $12.02 Typical High $22.91 | Professional | UE · Used equipment | $7.76 | $12.02 | $22.91 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $38.02 Typical High $70.79 | Facility | None | $30.20 | $38.02 | $70.79 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $3.16 Median $3.89 Typical High $7.24 | Facility | RR · Rental | $3.16 | $3.89 | $7.24 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | KENU · Bid item, non-bid base + New equipment | $33.88 | $33.88 | $33.88 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | KERR · Bid item, non-bid base + Rental | $3.55 | $3.55 | $3.55 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | KEUE · Bid item, non-bid base + Used equipment | $25.70 | $25.70 | $25.70 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | KUNU · Bidding program group 3 + New equipment | $31.62 | $31.62 | $31.62 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | KURR · Bidding program group 3 + Rental | $3.31 | $3.31 | $3.31 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KUUE · Bidding program group 3 + Used equipment | $23.99 | $23.99 | $23.99 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KENU · Bid item, non-bid base + New equipment | $33.88 | $33.88 | $33.88 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | KERR · Bid item, non-bid base + Rental | $3.55 | $3.55 | $3.55 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | KEUE · Bid item, non-bid base + Used equipment | $25.70 | $25.70 | $25.70 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | KUNU · Bidding program group 3 + New equipment | $31.62 | $31.62 | $31.62 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | KURR · Bidding program group 3 + Rental | $3.31 | $3.31 | $3.31 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KUUE · Bidding program group 3 + Used equipment | $23.99 | $23.99 | $23.99 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $30.20 Median $38.02 Typical High $70.79 | Facility | KU · Bidding program group 3 | $30.20 | $38.02 | $70.79 |
Where Massachusetts sits
The same service costs 2.6 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· 10th of 51
$28.84
HI $39.81NM $15.49
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.