How much rates vary
Facilitymedian $955 · 10th to 90th $617 to $2,951Professionalmedian $631 · 10th to 90th $407 to $1,000
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $562.34 | Professional | None | $346.74 | $562.34 | $562.34 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $407.38 Typical High $1,659.59 | Professional | UE · Used equipment | $346.74 | $407.38 | $1,659.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $616.60 Median $741.31 Typical High $3,090.30 | Facility | None | $616.60 | $741.31 | $3,090.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $977.24 | Professional | None | $416.87 | $630.96 | $977.24 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $38.02 Median $53.70 Typical High $87.10 | Professional | RR · Rental | $38.02 | $53.70 | $87.10 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $478.63 Typical High $691.83 | Professional | UE · Used equipment | $309.03 | $478.63 | $691.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $2,951.21 | Facility | None | $1,737.80 | $2,137.96 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $691.83 | Facility | None | $363.08 | $363.08 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $851.14 | Professional | None | $309.03 | $363.08 | $851.14 |
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 $416.87 Median $630.96 Typical High $1,023.29 | Professional | None | $416.87 | $630.96 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $38.02 Median $57.54 Typical High $93.33 | Professional | RR · Rental | $38.02 | $57.54 | $93.33 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $457.09 Typical High $812.83 | Professional | UE · Used equipment | $295.12 | $457.09 | $812.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $616.60 Median $741.31 Typical High $3,090.30 | Facility | None | $616.60 | $741.31 | $3,090.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $977.24 | Professional | None | $416.87 | $630.96 | $977.24 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $38.02 Median $53.70 Typical High $87.10 | Professional | RR · Rental | $38.02 | $53.70 | $87.10 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $478.63 Typical High $691.83 | Professional | UE · Used equipment | $309.03 | $478.63 | $691.83 |
United Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $1,023.29 | Professional | None | $407.38 | $630.96 | $1,023.29 |
United Setting Professional Modifier RR · Rental Typical Low $36.31 Median $57.54 Typical High $93.33 | Professional | RR · Rental | $36.31 | $57.54 | $93.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $457.09 Typical High $741.31 | Professional | UE · Used equipment | $295.12 | $457.09 | $741.31 |
Well Sense Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,479.11 | Facility | None | $630.96 | $831.76 | $1,479.11 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $478.63 Median $602.56 Typical High $1,096.48 | Facility | UE · Used equipment | $478.63 | $602.56 | $1,096.48 |
7 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 KH · Purchase or 1st rental month Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KH · Purchase or 1st rental month | $53.70 | $53.70 | $53.70 |
AllWays Health Partners Setting Professional Modifier KI · Rental month 2–3 Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KI · Rental month 2–3 | $53.70 | $53.70 | $53.70 |
AllWays Health Partners Setting Professional Modifier KJ · Rental month 4–15 Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | KJ · Rental month 4–15 | $47.86 | $53.70 | $53.70 |
Mass General Brigham Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KH · Purchase or 1st rental month | $53.70 | $53.70 | $53.70 |
Mass General Brigham Setting Professional Modifier KI · Rental month 2–3 Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KI · Rental month 2–3 | $53.70 | $53.70 | $53.70 |
Mass General Brigham Setting Professional Modifier KJ · Rental month 4–15 Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | KJ · Rental month 4–15 | $47.86 | $53.70 | $53.70 |
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $45.71 Median $58.88 Typical High $104.71 | Facility | KJ · Rental month 4–15 | $45.71 | $58.88 | $104.71 |
Where Massachusetts sits
The same service costs 17.0 times more in North Dakota than in Wyoming. 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· 20th of 51
$631
ND $1,622WY $95.50
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.