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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $741.31 | Professional | None | $416.87 | $588.84 | $741.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $446.68 Typical High $549.54 | Professional | UE · Used equipment | $416.87 | $446.68 | $549.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $128.82 Median $1,047.13 Typical High $3,311.31 | Facility | None | $128.82 | $1,047.13 | $3,311.31 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $120.23 Median $131.83 Typical High $436.52 | Facility | RR · Rental | $120.23 | $131.83 | $436.52 |
AllWays Health Partners Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $1,000.00 | Professional | None | $457.09 | $912.01 | $1,000.00 |
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 $346.74 Median $676.08 Typical High $831.76 | Professional | UE · Used equipment | $346.74 | $676.08 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $870.96 | Facility | None | $154.88 | $186.21 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $758.58 | Facility | None | $363.08 | $363.08 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $1,348.96 | Professional | None | $309.03 | $363.08 | $1,348.96 |
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 $380.19 Median $691.83 Typical High $1,380.38 | Professional | None | $380.19 | $691.83 | $1,380.38 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $43.65 Median $67.61 Typical High $131.83 | Professional | RR · Rental | $43.65 | $67.61 | $131.83 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $512.86 Typical High $1,047.13 | Professional | UE · Used equipment | $288.40 | $512.86 | $1,047.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $128.82 Median $1,047.13 Typical High $3,311.31 | Facility | None | $128.82 | $1,047.13 | $3,311.31 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $120.23 Median $131.83 Typical High $436.52 | Facility | RR · Rental | $120.23 | $131.83 | $436.52 |
Mass General Brigham Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $1,000.00 | Professional | None | $457.09 | $912.01 | $1,000.00 |
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 $346.74 Median $676.08 Typical High $831.76 | Professional | UE · Used equipment | $346.74 | $676.08 | $831.76 |
United Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,380.38 | Professional | None | $380.19 | $691.83 | $1,380.38 |
United Setting Professional Modifier RR · Rental Typical Low $43.65 Median $67.61 Typical High $131.83 | Professional | RR · Rental | $43.65 | $67.61 | $131.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $512.86 Typical High $1,047.13 | Professional | UE · Used equipment | $288.40 | $512.86 | $1,047.13 |
Well Sense Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,630.27 | Facility | None | $1,122.02 | $1,445.44 | $2,630.27 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $831.76 Median $1,122.02 Typical High $1,905.46 | Facility | UE · Used equipment | $831.76 | $1,122.02 | $1,905.46 |
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 $83.18 Median $104.71 Typical High $194.98 | Facility | KJ · Rental month 4–15 | $83.18 | $104.71 | $194.98 |
Where Massachusetts sits
The same service costs 11.5 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· 13th of 51
$813
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.