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 $616.60 Median $616.60 Typical High $2,818.38 | Facility | None | $616.60 | $616.60 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,548.82 | Professional | None | $616.60 | $616.60 | $1,548.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $1,230.27 | Professional | UE · Used equipment | $457.09 | $457.09 | $1,230.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $1,258.93 Typical High $3,467.37 | Facility | None | $138.04 | $1,258.93 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $128.82 Median $138.04 Typical High $446.68 | Facility | RR · Rental | $128.82 | $138.04 | $446.68 |
AllWays Health Partners Setting Professional Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,174.90 | Professional | None | $524.81 | $1,047.13 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $52.48 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $52.48 | $144.54 | $144.54 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $794.33 Typical High $870.96 | Professional | UE · Used equipment | $389.05 | $794.33 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $239.88 | Facility | None | $154.88 | $181.97 | $239.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,258.93 | $1,258.93 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $102.33 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Facility | None | $602.56 | $602.56 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $1,621.81 | Professional | None | $512.86 | $602.56 | $1,621.81 |
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 $467.74 Median $758.58 Typical High $1,380.38 | Professional | None | $467.74 | $758.58 | $1,380.38 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $46.77 Median $69.18 Typical High $144.54 | Professional | RR · Rental | $46.77 | $69.18 | $144.54 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $524.81 Typical High $1,071.52 | Professional | UE · Used equipment | $346.74 | $524.81 | $1,071.52 |
Health New England Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Health New England Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $72.44 | $72.44 | $72.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $1,258.93 Typical High $3,467.37 | Facility | None | $138.04 | $1,258.93 | $3,467.37 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $128.82 Median $138.04 Typical High $446.68 | Facility | RR · Rental | $128.82 | $138.04 | $446.68 |
Mass General Brigham Setting Professional Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,174.90 | Professional | None | $524.81 | $1,047.13 | $1,174.90 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $52.48 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $52.48 | $144.54 | $144.54 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $794.33 Typical High $870.96 | Professional | UE · Used equipment | $389.05 | $794.33 | $870.96 |
United Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,380.38 | Professional | None | $467.74 | $691.83 | $1,380.38 |
United Setting Professional Modifier RR · Rental Typical Low $46.77 Median $69.18 Typical High $138.04 | Professional | RR · Rental | $46.77 | $69.18 | $138.04 |
United Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $524.81 Typical High $1,023.29 | Professional | UE · Used equipment | $346.74 | $524.81 | $1,023.29 |
Well Sense Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Facility | None | $1,071.52 | $1,071.52 | $1,202.26 |
5 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 $154.88 Median $154.88 Typical High $154.88 | Professional | KERR · Bid item, non-bid base + Rental | $154.88 | $154.88 | $154.88 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KURR · Bidding program group 3 + Rental | $144.54 | $144.54 | $144.54 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | KERR · Bid item, non-bid base + Rental | $154.88 | $154.88 | $154.88 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KURR · Bidding program group 3 + Rental | $144.54 | $144.54 | $144.54 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $1,174.90 Median $1,513.56 Typical High $2,691.53 | Facility | KU · Bidding program group 3 | $1,174.90 | $1,513.56 | $2,691.53 |
Where Massachusetts sits
The same service costs 9.5 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· 22nd of 51
$977
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.