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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $363.08 | Professional | None | $181.97 | $234.42 | $363.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $177.83 Typical High $269.15 | Professional | UE · Used equipment | $109.65 | $177.83 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $281.84 Typical High $1,122.02 | Facility | None | $51.29 | $281.84 | $1,122.02 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $40.74 Median $42.66 Typical High $134.90 | Facility | RR · Rental | $40.74 | $42.66 | $134.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $371.54 | Professional | None | $169.82 | $363.08 | $371.54 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $19.95 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $19.95 | $42.66 | $42.66 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $269.15 Typical High $275.42 | Professional | UE · Used equipment | $128.82 | $269.15 | $275.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,047.13 | Facility | None | $346.74 | $346.74 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $389.05 | Facility | None | $257.04 | $257.04 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $549.54 | Professional | None | $218.78 | $257.04 | $549.54 |
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 $144.54 Median $223.87 Typical High $416.87 | Professional | None | $144.54 | $223.87 | $416.87 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $14.79 Median $25.70 Typical High $43.65 | Professional | RR · Rental | $14.79 | $25.70 | $43.65 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $165.96 Typical High $338.84 | Professional | UE · Used equipment | $109.65 | $165.96 | $338.84 |
Health New England Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Health New England Setting Professional Modifier RR · Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $23.99 | $23.99 | $23.99 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $281.84 Typical High $1,122.02 | Facility | None | $51.29 | $281.84 | $1,122.02 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $40.74 Median $42.66 Typical High $134.90 | Facility | RR · Rental | $40.74 | $42.66 | $134.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $371.54 | Professional | None | $169.82 | $363.08 | $371.54 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $19.95 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $19.95 | $42.66 | $42.66 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $269.15 Typical High $275.42 | Professional | UE · Used equipment | $128.82 | $269.15 | $275.42 |
United Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $416.87 | Professional | None | $144.54 | $223.87 | $416.87 |
United Setting Professional Modifier RR · Rental Typical Low $14.79 Median $25.70 Typical High $43.65 | Professional | RR · Rental | $14.79 | $25.70 | $43.65 |
United Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $165.96 Typical High $309.03 | Professional | UE · Used equipment | $109.65 | $165.96 | $309.03 |
Well Sense Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
3 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 KURR · Bidding program group 3 + Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KURR · Bidding program group 3 + Rental | $54.95 | $54.95 | $54.95 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KURR · Bidding program group 3 + Rental | $54.95 | $54.95 | $54.95 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $346.74 Median $446.68 Typical High $812.83 | Facility | KU · Bidding program group 3 | $346.74 | $446.68 | $812.83 |
Where Massachusetts sits
The same service costs 11.5 times more in Kansas 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· 17th of 51
$316
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.