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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,202.26 | Professional | None | $501.19 | $660.69 | $1,202.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $891.25 | Professional | UE · Used equipment | $489.78 | $489.78 | $891.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $144.54 Median $1,258.93 Typical High $3,715.35 | Facility | None | $144.54 | $1,258.93 | $3,715.35 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $141.25 Median $147.91 Typical High $489.78 | Facility | RR · Rental | $141.25 | $147.91 | $489.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,174.90 | Professional | None | $549.54 | $1,000.00 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $52.48 Median $154.88 Typical High $154.88 | Professional | RR · Rental | $52.48 | $154.88 | $154.88 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $758.58 Typical High $933.25 | Professional | UE · Used equipment | $407.38 | $758.58 | $933.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $977.24 | Facility | None | $173.78 | $204.17 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,380.38 | $2,398.83 |
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 $457.09 Median $812.83 Typical High $1,659.59 | Professional | None | $457.09 | $812.83 | $1,659.59 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $50.12 Median $75.86 Typical High $147.91 | Professional | RR · Rental | $50.12 | $75.86 | $147.91 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $616.60 Typical High $1,230.27 | Professional | UE · Used equipment | $346.74 | $616.60 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $144.54 Median $1,258.93 Typical High $3,715.35 | Facility | None | $144.54 | $1,258.93 | $3,715.35 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $141.25 Median $147.91 Typical High $489.78 | Facility | RR · Rental | $141.25 | $147.91 | $489.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,174.90 | Professional | None | $549.54 | $1,000.00 | $1,174.90 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $52.48 Median $154.88 Typical High $154.88 | Professional | RR · Rental | $52.48 | $154.88 | $154.88 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $758.58 Typical High $933.25 | Professional | UE · Used equipment | $407.38 | $758.58 | $933.25 |
United Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,659.59 | Professional | None | $457.09 | $812.83 | $1,659.59 |
United Setting Professional Modifier RR · Rental Typical Low $50.12 Median $75.86 Typical High $147.91 | Professional | RR · Rental | $50.12 | $75.86 | $147.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $616.60 Typical High $1,230.27 | Professional | UE · Used equipment | $346.74 | $616.60 | $1,230.27 |
Well Sense Setting Facility Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $2,884.03 | Facility | None | $1,258.93 | $1,621.81 | $2,884.03 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $933.25 Median $1,258.93 Typical High $2,137.96 | Facility | UE · Used equipment | $933.25 | $1,258.93 | $2,137.96 |
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 $93.33 Median $120.23 Typical High $218.78 | Facility | KJ · Rental month 4–15 | $93.33 | $120.23 | $218.78 |
Where Massachusetts sits
The same service costs 13.8 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
$1,000
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.