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 $436.52 Median $524.81 Typical High $1,905.46 | Professional | None | $436.52 | $524.81 | $1,905.46 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $1,445.44 | Professional | UE · Used equipment | $398.11 | $398.11 | $1,445.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $114.82 Median $1,096.48 Typical High $5,248.07 | Facility | None | $114.82 | $1,096.48 | $5,248.07 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $117.49 Median $128.82 Typical High $389.05 | Facility | RR · Rental | $117.49 | $128.82 | $389.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $1,023.29 | Professional | None | $478.63 | $954.99 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $45.71 Median $123.03 Typical High $123.03 | Professional | RR · Rental | $45.71 | $123.03 | $123.03 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $707.95 Typical High $758.58 | Professional | UE · Used equipment | $354.81 | $707.95 | $758.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $776.25 | Facility | None | $138.04 | $165.96 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $912.01 | Facility | None | $446.68 | $446.68 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $1,412.54 | Professional | None | $380.19 | $446.68 | $1,412.54 |
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 $398.11 Median $707.95 Typical High $1,445.44 | Professional | None | $398.11 | $707.95 | $1,445.44 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $39.81 Median $60.26 Typical High $117.49 | Professional | RR · Rental | $39.81 | $60.26 | $117.49 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $537.03 Typical High $1,071.52 | Professional | UE · Used equipment | $302.00 | $537.03 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $114.82 Median $1,096.48 Typical High $5,248.07 | Facility | None | $114.82 | $1,096.48 | $5,248.07 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $117.49 Median $128.82 Typical High $389.05 | Facility | RR · Rental | $117.49 | $128.82 | $389.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $1,023.29 | Professional | None | $478.63 | $954.99 | $1,023.29 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $45.71 Median $123.03 Typical High $123.03 | Professional | RR · Rental | $45.71 | $123.03 | $123.03 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $707.95 Typical High $758.58 | Professional | UE · Used equipment | $354.81 | $707.95 | $758.58 |
United Setting Professional Modifier None Typical Low $398.11 Median $707.95 Typical High $1,445.44 | Professional | None | $398.11 | $707.95 | $1,445.44 |
United Setting Professional Modifier RR · Rental Typical Low $39.81 Median $60.26 Typical High $117.49 | Professional | RR · Rental | $39.81 | $60.26 | $117.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $537.03 Typical High $1,071.52 | Professional | UE · Used equipment | $302.00 | $537.03 | $1,071.52 |
Well Sense Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,344.23 | Facility | None | $1,000.00 | $1,258.93 | $2,344.23 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $758.58 Median $954.99 Typical High $1,737.80 | Facility | UE · Used equipment | $758.58 | $954.99 | $1,737.80 |
1 more rate 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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $75.86 Median $93.33 Typical High $173.78 | Facility | KJ · Rental month 4–15 | $75.86 | $93.33 | $173.78 |
Where Massachusetts sits
The same service costs 16.2 times more in Kansas 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· 13th of 51
$851
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.