How much rates vary
Facilitymedian $1,148 · 10th to 90th $537 to $8,511Professionalmedian $3,715 · 10th to 90th $1,950 to $4,677
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 $2,290.87 Median $2,290.87 Typical High $10,471.29 | Facility | None | $2,290.87 | $2,290.87 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $7,413.10 | Professional | None | $2,290.87 | $2,290.87 | $7,413.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,737.80 Median $1,737.80 Typical High $5,495.41 | Professional | UE · Used equipment | $1,737.80 | $1,737.80 | $5,495.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $4,677.35 Typical High $12,882.50 | Facility | None | $512.86 | $4,677.35 | $12,882.50 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $489.78 Median $512.86 Typical High $1,698.24 | Facility | RR · Rental | $489.78 | $512.86 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $3,981.07 Typical High $4,365.16 | Professional | None | $1,949.84 | $3,981.07 | $4,365.16 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $194.98 Median $537.03 Typical High $537.03 | Professional | RR · Rental | $194.98 | $537.03 | $537.03 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $2,951.21 Typical High $3,235.94 | Professional | UE · Used equipment | $1,479.11 | $2,951.21 | $3,235.94 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $891.25 | Facility | None | $575.44 | $676.08 | $891.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,715.35 | $4,677.35 | $4,677.35 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | RR · Rental | $371.54 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $6,165.95 | Professional | None | $2,754.23 | $3,235.94 | $6,165.95 |
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 $1,737.80 Median $2,884.03 Typical High $5,128.61 | Professional | None | $1,737.80 | $2,884.03 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $173.78 Median $263.03 Typical High $537.03 | Professional | RR · Rental | $173.78 | $263.03 | $537.03 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,949.84 Typical High $4,073.80 | Professional | UE · Used equipment | $1,288.25 | $1,949.84 | $4,073.80 |
Health New England Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $4,677.35 Typical High $12,882.50 | Facility | None | $512.86 | $4,677.35 | $12,882.50 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $489.78 Median $512.86 Typical High $1,698.24 | Facility | RR · Rental | $489.78 | $512.86 | $1,698.24 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,949.84 Median $3,981.07 Typical High $4,365.16 | Professional | None | $1,949.84 | $3,981.07 | $4,365.16 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $194.98 Median $537.03 Typical High $537.03 | Professional | RR · Rental | $194.98 | $537.03 | $537.03 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $2,951.21 Typical High $3,235.94 | Professional | UE · Used equipment | $1,479.11 | $2,951.21 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $5,128.61 | Professional | None | $1,737.80 | $2,630.27 | $5,128.61 |
United Setting Professional Modifier RR · Rental Typical Low $173.78 Median $263.03 Typical High $512.86 | Professional | RR · Rental | $173.78 | $263.03 | $512.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,949.84 Typical High $3,890.45 | Professional | UE · Used equipment | $1,288.25 | $1,949.84 | $3,890.45 |
Well Sense Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,570.88 | Facility | None | $4,073.80 | $4,073.80 | $4,570.88 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | KERR · Bid item, non-bid base + Rental | $575.44 | $575.44 | $575.44 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KURR · Bidding program group 3 + Rental | $537.03 | $537.03 | $537.03 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | KERR · Bid item, non-bid base + Rental | $575.44 | $575.44 | $575.44 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KURR · Bidding program group 3 + Rental | $537.03 | $537.03 | $537.03 |
Well Sense Setting Facility Modifier KR · Partial-month rental Typical Low $13.80 Median $17.38 Typical High $31.62 | Facility | KR · Partial-month rental | $13.80 | $17.38 | $31.62 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $4,365.16 Median $5,623.41 Typical High $10,232.93 | Facility | KU · Bidding program group 3 | $4,365.16 | $5,623.41 | $10,232.93 |
Where Massachusetts sits
The same service costs 9.3 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· 24th of 51
$3,548
ND $6,026MS $646
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.