How much rates vary
Facilitymedian $5,129 · 10th to 90th $575 to $12,882Professionalmedian $3,890 · 10th to 90th $2,188 to $5,129
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 $2,570.40 Median $2,570.40 Typical High $11,748.98 | Facility | None | $2,570.40 | $2,570.40 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $7,244.36 | Professional | None | $2,570.40 | $2,570.40 | $7,244.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $1,905.46 Typical High $5,754.40 | Professional | UE · Used equipment | $1,905.46 | $1,905.46 | $5,754.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $5,128.61 Typical High $14,454.40 | Facility | None | $575.44 | $5,128.61 | $14,454.40 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $537.03 Median $562.34 Typical High $1,862.09 | Facility | RR · Rental | $537.03 | $562.34 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $4,365.16 Typical High $4,786.30 | Professional | None | $2,187.76 | $4,365.16 | $4,786.30 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $218.78 Median $602.56 Typical High $602.56 | Professional | RR · Rental | $218.78 | $602.56 | $602.56 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $3,311.31 Typical High $3,630.78 | Professional | UE · Used equipment | $1,621.81 | $3,311.31 | $3,630.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,801.89 Median $5,128.61 Typical High $5,128.61 | Professional | None | $3,801.89 | $5,128.61 | $5,128.61 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $380.19 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $380.19 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,548.13 | Facility | None | $3,311.31 | $3,311.31 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $6,760.83 | Professional | None | $2,818.38 | $3,311.31 | $6,760.83 |
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 $1,905.46 Median $3,162.28 Typical High $5,623.41 | Professional | None | $1,905.46 | $3,162.28 | $5,623.41 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $190.55 Median $288.40 Typical High $602.56 | Professional | RR · Rental | $190.55 | $288.40 | $602.56 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $2,137.96 Typical High $4,466.84 | Professional | UE · Used equipment | $1,445.44 | $2,137.96 | $4,466.84 |
Health New England Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $5,128.61 Typical High $14,454.40 | Facility | None | $575.44 | $5,128.61 | $14,454.40 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $537.03 Median $562.34 Typical High $1,862.09 | Facility | RR · Rental | $537.03 | $562.34 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,187.76 Median $4,365.16 Typical High $4,786.30 | Professional | None | $2,187.76 | $4,365.16 | $4,786.30 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $218.78 Median $602.56 Typical High $602.56 | Professional | RR · Rental | $218.78 | $602.56 | $602.56 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $3,311.31 Typical High $3,630.78 | Professional | UE · Used equipment | $1,621.81 | $3,311.31 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $5,623.41 | Professional | None | $1,905.46 | $2,884.03 | $5,623.41 |
United Setting Professional Modifier RR · Rental Typical Low $190.55 Median $288.40 Typical High $562.34 | Professional | RR · Rental | $190.55 | $288.40 | $562.34 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $2,137.96 Typical High $4,265.80 | Professional | UE · Used equipment | $1,445.44 | $2,137.96 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | KERR · Bid item, non-bid base + Rental | $645.65 | $645.65 | $645.65 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | KURR · Bidding program group 3 + Rental | $602.56 | $602.56 | $602.56 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | KERR · Bid item, non-bid base + Rental | $645.65 | $645.65 | $645.65 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | KURR · Bidding program group 3 + Rental | $602.56 | $602.56 | $602.56 |
Well Sense Setting Facility Modifier KR · Partial-month rental Typical Low $15.14 Median $19.05 Typical High $35.48 | Facility | KR · Partial-month rental | $15.14 | $19.05 | $35.48 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $4,786.30 Median $6,165.95 Typical High $11,220.18 | Facility | KU · Bidding program group 3 | $4,786.30 | $6,165.95 | $11,220.18 |
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· 25th of 51
$3,890
ND $6,761MS $724
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.