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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $1,096.48 | Professional | None | $478.63 | $776.25 | $1,096.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $575.44 Typical High $891.25 | Professional | UE · Used equipment | $549.54 | $575.44 | $891.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $1,380.38 Typical High $5,754.40 | Facility | None | $165.96 | $1,380.38 | $5,754.40 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $154.88 Median $173.78 Typical High $562.34 | Facility | RR · Rental | $154.88 | $173.78 | $562.34 |
AllWays Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,380.38 Typical High $1,445.44 | Professional | None | $588.84 | $1,380.38 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $58.88 Median $177.83 Typical High $177.83 | Professional | RR · Rental | $58.88 | $177.83 | $177.83 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $436.52 Median $1,047.13 Typical High $1,096.48 | Professional | UE · Used equipment | $436.52 | $1,047.13 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $1,148.15 | Facility | None | $204.17 | $239.88 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $977.24 | Facility | None | $467.74 | $467.74 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $1,778.28 | Professional | None | $398.11 | $467.74 | $1,778.28 |
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 $489.78 Median $891.25 Typical High $1,778.28 | Professional | None | $489.78 | $891.25 | $1,778.28 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $56.23 Median $87.10 Typical High $173.78 | Professional | RR · Rental | $56.23 | $87.10 | $173.78 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $660.69 Typical High $1,348.96 | Professional | UE · Used equipment | $371.54 | $660.69 | $1,348.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $1,380.38 Typical High $5,754.40 | Facility | None | $165.96 | $1,380.38 | $5,754.40 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $154.88 Median $173.78 Typical High $562.34 | Facility | RR · Rental | $154.88 | $173.78 | $562.34 |
Mass General Brigham Setting Professional Modifier None Typical Low $588.84 Median $1,380.38 Typical High $1,445.44 | Professional | None | $588.84 | $1,380.38 | $1,445.44 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $58.88 Median $177.83 Typical High $177.83 | Professional | RR · Rental | $58.88 | $177.83 | $177.83 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $436.52 Median $1,047.13 Typical High $1,096.48 | Professional | UE · Used equipment | $436.52 | $1,047.13 | $1,096.48 |
United Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $1,778.28 | Professional | None | $489.78 | $891.25 | $1,778.28 |
United Setting Professional Modifier RR · Rental Typical Low $56.23 Median $87.10 Typical High $173.78 | Professional | RR · Rental | $56.23 | $87.10 | $173.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $660.69 Typical High $1,348.96 | Professional | UE · Used equipment | $371.54 | $660.69 | $1,348.96 |
Well Sense Setting Facility Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $3,388.44 | Facility | None | $1,445.44 | $1,905.46 | $3,388.44 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $1,096.48 Median $1,479.11 Typical High $2,511.89 | Facility | UE · Used equipment | $1,096.48 | $1,479.11 | $2,511.89 |
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 $109.65 Median $138.04 Typical High $257.04 | Facility | KJ · Rental month 4–15 | $109.65 | $138.04 | $257.04 |
Where Massachusetts sits
The same service costs 14.8 times more in North Dakota than in Illinois. 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· 11th of 51
$1,148
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.