How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,000 to $10,715Professionalmedian $7,413 · 10th to 90th $3,890 to $8,710
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 $4,570.88 Median $4,570.88 Typical High $20,892.96 | Facility | None | $4,570.88 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $16,218.10 | Professional | None | $4,570.88 | $4,570.88 | $16,218.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,467.37 Median $3,467.37 Typical High $12,882.50 | Professional | UE · Used equipment | $3,467.37 | $3,467.37 | $12,882.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $9,332.54 Typical High $24,547.09 | Facility | None | $1,000.00 | $9,332.54 | $24,547.09 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $933.25 Median $977.24 Typical High $3,235.94 | Facility | RR · Rental | $933.25 | $977.24 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3,890.45 Median $7,943.28 Typical High $8,511.38 | Professional | None | $3,890.45 | $7,943.28 | $8,511.38 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $389.05 Median $1,023.29 Typical High $1,023.29 | Professional | RR · Rental | $389.05 | $1,023.29 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $2,951.21 Median $5,888.44 Typical High $6,309.57 | Professional | UE · Used equipment | $2,951.21 | $5,888.44 | $6,309.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,698.24 | Facility | None | $1,096.48 | $1,258.93 | $1,698.24 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7,413.10 Median $8,709.64 Typical High $8,709.64 | Professional | None | $7,413.10 | $8,709.64 | $8,709.64 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | RR · Rental | $776.25 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,248.07 | Facility | None | $4,897.79 | $4,897.79 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $4,897.79 Typical High $11,481.54 | Professional | None | $4,168.69 | $4,897.79 | $11,481.54 |
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 $3,311.31 Median $5,623.41 Typical High $9,772.37 | Professional | None | $3,311.31 | $5,623.41 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $331.13 Median $512.86 Typical High $1,047.13 | Professional | RR · Rental | $331.13 | $512.86 | $1,047.13 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $3,801.89 Typical High $7,943.28 | Professional | UE · Used equipment | $2,511.89 | $3,801.89 | $7,943.28 |
Health New England Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
Health New England Setting Professional Modifier RR · Rental Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | RR · Rental | $537.03 | $537.03 | $537.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,000.00 Median $9,332.54 Typical High $24,547.09 | Facility | None | $1,000.00 | $9,332.54 | $24,547.09 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $933.25 Median $977.24 Typical High $3,235.94 | Facility | RR · Rental | $933.25 | $977.24 | $3,235.94 |
Mass General Brigham Setting Professional Modifier None Typical Low $3,890.45 Median $7,943.28 Typical High $8,511.38 | Professional | None | $3,890.45 | $7,943.28 | $8,511.38 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $389.05 Median $1,023.29 Typical High $1,023.29 | Professional | RR · Rental | $389.05 | $1,023.29 | $1,023.29 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $2,951.21 Median $5,888.44 Typical High $6,309.57 | Professional | UE · Used equipment | $2,951.21 | $5,888.44 | $6,309.57 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $5,623.41 Typical High $9,772.37 | Professional | None | $3,311.31 | $5,623.41 | $9,772.37 |
United Setting Professional Modifier RR · Rental Typical Low $331.13 Median $512.86 Typical High $977.24 | Professional | RR · Rental | $331.13 | $512.86 | $977.24 |
United Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $3,801.89 Typical High $7,244.36 | Professional | UE · Used equipment | $2,511.89 | $3,801.89 | $7,244.36 |
Well Sense Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $10,000.00 | Facility | None | $9,120.11 | $9,120.11 | $10,000.00 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | KERR · Bid item, non-bid base + Rental | $1,122.02 | $1,122.02 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | KURR · Bidding program group 3 + Rental | $1,071.52 | $1,071.52 | $1,071.52 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | KERR · Bid item, non-bid base + Rental | $1,122.02 | $1,122.02 | $1,122.02 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | KURR · Bidding program group 3 + Rental | $1,071.52 | $1,071.52 | $1,071.52 |
Well Sense Setting Facility Modifier KR · Partial-month rental Typical Low $26.30 Median $33.88 Typical High $61.66 | Facility | KR · Partial-month rental | $26.30 | $33.88 | $61.66 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $8,317.64 Median $10,471.29 Typical High $19,054.61 | Facility | KU · Bidding program group 3 | $8,317.64 | $10,471.29 | $19,054.61 |
Where Massachusetts sits
The same service costs 8.9 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
$6,918
ND $11,482MS $1,288
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.