How much rates vary
Facilitymedian $1,738 · 10th to 90th $977 to $3,802Professionalmedian $1,122 · 10th to 90th $550 to $1,349
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $741.31 Typical High $741.31 | Professional | None | $208.93 | $741.31 | $741.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $186.21 | $562.34 | $562.34 |
AllWays Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,071.52 Typical High $5,495.41 | Facility | None | $977.24 | $1,071.52 | $5,495.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,122.02 Typical High $1,288.25 | Professional | None | $562.34 | $1,122.02 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $56.23 Median $95.50 Typical High $125.89 | Professional | RR · Rental | $56.23 | $95.50 | $125.89 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $851.14 Typical High $954.99 | Professional | UE · Used equipment | $416.87 | $851.14 | $954.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $3,890.45 | Facility | None | $2,290.87 | $2,951.21 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,548.82 | Professional | None | $933.25 | $1,096.48 | $1,548.82 |
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 $549.54 Median $831.76 Typical High $1,348.96 | Professional | None | $549.54 | $831.76 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $54.95 Median $83.18 Typical High $134.90 | Professional | RR · Rental | $54.95 | $83.18 | $134.90 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $630.96 Typical High $1,122.02 | Professional | UE · Used equipment | $398.11 | $630.96 | $1,122.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $977.24 Median $1,071.52 Typical High $5,495.41 | Facility | None | $977.24 | $1,071.52 | $5,495.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $562.34 Median $1,122.02 Typical High $1,288.25 | Professional | None | $562.34 | $1,122.02 | $1,288.25 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $56.23 Median $95.50 Typical High $125.89 | Professional | RR · Rental | $56.23 | $95.50 | $125.89 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $851.14 Typical High $954.99 | Professional | UE · Used equipment | $416.87 | $851.14 | $954.99 |
United Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $1,348.96 | Professional | None | $537.03 | $831.76 | $1,348.96 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $83.18 Typical High $134.90 | Professional | RR · Rental | $53.70 | $83.18 | $134.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $630.96 Typical High $1,023.29 | Professional | UE · Used equipment | $398.11 | $630.96 | $1,023.29 |
Well Sense Setting Facility Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,290.87 | Facility | None | $1,122.02 | $1,659.59 | $2,290.87 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $851.14 Median $1,096.48 Typical High $1,949.84 | Facility | UE · Used equipment | $851.14 | $1,096.48 | $1,949.84 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | KH · Purchase or 1st rental month | $95.50 | $95.50 | $95.50 |
AllWays Health Partners Setting Professional Modifier KI · Rental month 2–3 Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | KI · Rental month 2–3 | $95.50 | $95.50 | $95.50 |
AllWays Health Partners Setting Professional Modifier KJ · Rental month 4–15 Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | KJ · Rental month 4–15 | $85.11 | $95.50 | $95.50 |
Mass General Brigham Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | KH · Purchase or 1st rental month | $95.50 | $95.50 | $95.50 |
Mass General Brigham Setting Professional Modifier KI · Rental month 2–3 Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | KI · Rental month 2–3 | $95.50 | $95.50 | $95.50 |
Mass General Brigham Setting Professional Modifier KJ · Rental month 4–15 Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | KJ · Rental month 4–15 | $85.11 | $95.50 | $95.50 |
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $79.43 Median $104.71 Typical High $186.21 | Facility | KJ · Rental month 4–15 | $79.43 | $104.71 | $186.21 |
Where Massachusetts sits
The same service costs 20.0 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· 6th of 51
$1,122
ND $2,692WY $135
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.