How much rates vary
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 $2,137.96 Median $2,137.96 Typical High $9,772.37 | Facility | None | $2,137.96 | $2,137.96 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $9,772.37 | Professional | None | $1,621.81 | $2,137.96 | $9,772.37 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,230.27 Median $1,584.89 Typical High $7,244.36 | Professional | UE · Used equipment | $1,230.27 | $1,584.89 | $7,244.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $467.74 Median $4,168.69 Typical High $11,220.18 | Facility | None | $467.74 | $4,168.69 | $11,220.18 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $416.87 Median $436.52 Typical High $1,445.44 | Facility | RR · Rental | $416.87 | $436.52 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $3,630.78 Typical High $3,890.45 | Professional | None | $1,819.70 | $3,630.78 | $3,890.45 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $181.97 Median $467.74 Typical High $467.74 | Professional | RR · Rental | $181.97 | $467.74 | $467.74 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $2,754.23 Typical High $2,951.21 | Professional | UE · Used equipment | $1,348.96 | $2,754.23 | $2,951.21 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $758.58 | Facility | None | $489.78 | $575.44 | $758.58 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,467.37 | $3,981.07 | $3,981.07 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $346.74 Median $398.11 Typical High $398.11 | Professional | RR · Rental | $346.74 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Facility | None | $2,187.76 | $2,187.76 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $5,248.07 | Professional | None | $1,862.09 | $2,187.76 | $5,248.07 |
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 $1,513.56 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,513.56 | $2,691.53 | $4,365.16 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $151.36 Median $234.42 Typical High $478.63 | Professional | RR · Rental | $151.36 | $234.42 | $478.63 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,778.28 Typical High $3,630.78 | Professional | UE · Used equipment | $1,122.02 | $1,778.28 | $3,630.78 |
Health New England Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Health New England Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $467.74 Median $4,168.69 Typical High $11,220.18 | Facility | None | $467.74 | $4,168.69 | $11,220.18 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $416.87 Median $436.52 Typical High $1,445.44 | Facility | RR · Rental | $416.87 | $436.52 | $1,445.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,819.70 Median $3,630.78 Typical High $3,890.45 | Professional | None | $1,819.70 | $3,630.78 | $3,890.45 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $181.97 Median $467.74 Typical High $467.74 | Professional | RR · Rental | $181.97 | $467.74 | $467.74 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $2,754.23 Typical High $2,951.21 | Professional | UE · Used equipment | $1,348.96 | $2,754.23 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,513.56 | $2,691.53 | $4,365.16 |
United Setting Professional Modifier RR · Rental Typical Low $151.36 Median $239.88 Typical High $436.52 | Professional | RR · Rental | $151.36 | $239.88 | $436.52 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,778.28 Typical High $3,311.31 | Professional | UE · Used equipment | $1,122.02 | $1,778.28 | $3,311.31 |
Well Sense Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Facility | None | $4,265.80 | $4,265.80 | $4,677.35 |
6 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 KERR · Bid item, non-bid base + Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | KERR · Bid item, non-bid base + Rental | $512.86 | $512.86 | $512.86 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | KURR · Bidding program group 3 + Rental | $501.19 | $501.19 | $501.19 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | KERR · Bid item, non-bid base + Rental | $512.86 | $512.86 | $512.86 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | KURR · Bidding program group 3 + Rental | $501.19 | $501.19 | $501.19 |
Well Sense Setting Facility Modifier KR · Partial-month rental Typical Low $12.02 Median $15.85 Typical High $28.18 | Facility | KR · Partial-month rental | $12.02 | $15.85 | $28.18 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $3,715.35 Median $4,786.30 Typical High $8,709.64 | Facility | KU · Bidding program group 3 | $3,715.35 | $4,786.30 | $8,709.64 |
Where Massachusetts sits
The same service costs 8.7 times more in North Dakota than in Mississippi. 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· 20th of 51
$3,311
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.