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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $831.76 | Professional | None | $524.81 | $524.81 | $831.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $575.44 | Professional | UE · Used equipment | $389.05 | $389.05 | $575.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $1,202.26 Typical High $3,548.13 | Facility | None | $131.83 | $1,202.26 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $125.89 Median $131.83 Typical High $436.52 | Facility | RR · Rental | $125.89 | $131.83 | $436.52 |
AllWays Health Partners Setting Professional Modifier None Typical Low $446.68 Median $954.99 Typical High $1,122.02 | Professional | None | $446.68 | $954.99 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $44.67 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $44.67 | $138.04 | $138.04 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $707.95 Typical High $831.76 | Professional | UE · Used equipment | $331.13 | $707.95 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $229.09 | Facility | None | $147.91 | $173.78 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,202.26 | Professional | None | $831.76 | $1,202.26 | $1,202.26 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $83.18 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $83.18 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Facility | None | $794.33 | $794.33 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,584.89 | Professional | None | $676.08 | $794.33 | $1,584.89 |
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 $407.38 Median $676.08 Typical High $1,318.26 | Professional | None | $407.38 | $676.08 | $1,318.26 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $40.74 Median $67.61 Typical High $141.25 | Professional | RR · Rental | $40.74 | $67.61 | $141.25 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $501.19 Typical High $1,047.13 | Professional | UE · Used equipment | $302.00 | $501.19 | $1,047.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $1,202.26 Typical High $3,548.13 | Facility | None | $131.83 | $1,202.26 | $3,548.13 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $125.89 Median $131.83 Typical High $436.52 | Facility | RR · Rental | $125.89 | $131.83 | $436.52 |
Mass General Brigham Setting Professional Modifier None Typical Low $446.68 Median $954.99 Typical High $1,122.02 | Professional | None | $446.68 | $954.99 | $1,122.02 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $44.67 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $44.67 | $138.04 | $138.04 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $707.95 Typical High $831.76 | Professional | UE · Used equipment | $331.13 | $707.95 | $831.76 |
United Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,318.26 | Professional | None | $407.38 | $676.08 | $1,318.26 |
United Setting Professional Modifier RR · Rental Typical Low $40.74 Median $67.61 Typical High $131.83 | Professional | RR · Rental | $40.74 | $67.61 | $131.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $501.19 Typical High $977.24 | Professional | UE · Used equipment | $302.00 | $501.19 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $2,884.03 | Facility | None | $588.84 | $588.84 | $2,884.03 |
3 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 KURR · Bidding program group 3 + Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KURR · Bidding program group 3 + Rental | $141.25 | $141.25 | $141.25 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KURR · Bidding program group 3 + Rental | $141.25 | $141.25 | $141.25 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $1,122.02 Median $1,445.44 Typical High $2,630.27 | Facility | KU · Bidding program group 3 | $1,122.02 | $1,445.44 | $2,630.27 |
Where Massachusetts sits
The same service costs 11.5 times more in North Dakota 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· 23rd of 51
$832
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.