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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $562.34 | Professional | None | $288.40 | $288.40 | $562.34 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $426.58 | Professional | UE · Used equipment | $218.78 | $218.78 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $63.10 Median $501.19 Typical High $1,659.59 | Facility | None | $63.10 | $501.19 | $1,659.59 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $57.54 Median $64.57 Typical High $213.80 | Facility | RR · Rental | $57.54 | $64.57 | $213.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $478.63 | Professional | None | $223.87 | $446.68 | $478.63 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $21.88 Median $67.61 Typical High $67.61 | Professional | RR · Rental | $21.88 | $67.61 | $67.61 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $331.13 Typical High $416.87 | Professional | UE · Used equipment | $165.96 | $331.13 | $416.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $1,288.25 | Facility | None | $426.58 | $426.58 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $407.38 | Facility | None | $363.08 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $645.65 | Professional | None | $346.74 | $407.38 | $645.65 |
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 $186.21 Median $331.13 Typical High $676.08 | Professional | None | $186.21 | $331.13 | $676.08 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $21.38 Median $33.11 Typical High $64.57 | Professional | RR · Rental | $21.38 | $33.11 | $64.57 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $251.19 Typical High $501.19 | Professional | UE · Used equipment | $138.04 | $251.19 | $501.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $63.10 Median $501.19 Typical High $1,659.59 | Facility | None | $63.10 | $501.19 | $1,659.59 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $57.54 Median $64.57 Typical High $213.80 | Facility | RR · Rental | $57.54 | $64.57 | $213.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $478.63 | Professional | None | $223.87 | $446.68 | $478.63 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $21.88 Median $67.61 Typical High $67.61 | Professional | RR · Rental | $21.88 | $67.61 | $67.61 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $331.13 Typical High $416.87 | Professional | UE · Used equipment | $165.96 | $331.13 | $416.87 |
United Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $676.08 | Professional | None | $186.21 | $331.13 | $676.08 |
United Setting Professional Modifier RR · Rental Typical Low $21.38 Median $33.11 Typical High $64.57 | Professional | RR · Rental | $21.38 | $33.11 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $251.19 Typical High $501.19 | Professional | UE · Used equipment | $138.04 | $251.19 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $691.83 Typical High $1,288.25 | Facility | None | $549.54 | $691.83 | $1,288.25 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $416.87 Median $524.81 Typical High $954.99 | Facility | UE · Used equipment | $416.87 | $524.81 | $954.99 |
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 $41.69 Median $52.48 Typical High $95.50 | Facility | KJ · Rental month 4–15 | $41.69 | $52.48 | $95.50 |
Where Massachusetts sits
The same service costs 11.2 times more in North Dakota than in Rhode Island. 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
$447
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.