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 $281.84 Median $281.84 Typical High $1,288.25 | Facility | None | $281.84 | $281.84 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $933.25 | Professional | None | $213.80 | $281.84 | $933.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $213.80 Typical High $933.25 | Professional | UE · Used equipment | $162.18 | $213.80 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $1,348.96 | Facility | None | $416.87 | $436.52 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $41.69 Median $44.67 Typical High $138.04 | Facility | RR · Rental | $41.69 | $44.67 | $138.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $457.09 | Professional | None | $234.42 | $436.52 | $457.09 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $23.99 Median $43.65 Typical High $43.65 | Professional | RR · Rental | $23.99 | $43.65 | $43.65 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $331.13 Typical High $331.13 | Professional | UE · Used equipment | $173.78 | $331.13 | $331.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $724.44 | Facility | None | $426.58 | $537.03 | $724.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | None | $371.54 | $371.54 | $407.38 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | RR · Rental | $37.15 | $37.15 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Facility | None | $309.03 | $309.03 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $549.54 | Professional | None | $263.03 | $309.03 | $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 $158.49 Median $302.00 Typical High $630.96 | Professional | None | $158.49 | $302.00 | $630.96 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $15.85 Median $28.84 Typical High $53.70 | Professional | RR · Rental | $15.85 | $28.84 | $53.70 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $213.80 Typical High $478.63 | Professional | UE · Used equipment | $117.49 | $213.80 | $478.63 |
Health New England Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Health New England Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $30.90 | $30.90 | $30.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $1,348.96 | Facility | None | $416.87 | $436.52 | $1,348.96 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $41.69 Median $44.67 Typical High $138.04 | Facility | RR · Rental | $41.69 | $44.67 | $138.04 |
Mass General Brigham Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $457.09 | Professional | None | $234.42 | $436.52 | $457.09 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $23.99 Median $43.65 Typical High $43.65 | Professional | RR · Rental | $23.99 | $43.65 | $43.65 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $331.13 Typical High $331.13 | Professional | UE · Used equipment | $173.78 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $630.96 | Professional | None | $158.49 | $302.00 | $630.96 |
United Setting Professional Modifier RR · Rental Typical Low $15.85 Median $28.84 Typical High $53.70 | Professional | RR · Rental | $15.85 | $28.84 | $53.70 |
United Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $213.80 Typical High $398.11 | Professional | UE · Used equipment | $117.49 | $213.80 | $398.11 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $446.68 Typical High $812.83 | Facility | None | $354.81 | $446.68 | $812.83 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $35.48 Median $44.67 Typical High $81.28 | Facility | RR · Rental | $35.48 | $44.67 | $81.28 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $263.03 Median $338.84 Typical High $616.60 | Facility | UE · Used equipment | $263.03 | $338.84 | $616.60 |
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 KUNU · Bidding program group 3 + New equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | KUNU · Bidding program group 3 + New equipment | $660.69 | $660.69 | $660.69 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KURR · Bidding program group 3 + Rental | $67.61 | $67.61 | $67.61 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | KUUE · Bidding program group 3 + Used equipment | $501.19 | $501.19 | $501.19 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | KUNU · Bidding program group 3 + New equipment | $660.69 | $660.69 | $660.69 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KURR · Bidding program group 3 + Rental | $67.61 | $67.61 | $67.61 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | KUUE · Bidding program group 3 + Used equipment | $501.19 | $501.19 | $501.19 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $630.96 Median $794.33 Typical High $1,479.11 | Facility | KU · Bidding program group 3 | $630.96 | $794.33 | $1,479.11 |
Where Massachusetts sits
The same service costs 18.2 times more in Hawaii than in Illinois. 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· 15th of 51
$417
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.