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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $1,148.15 | Professional | None | $398.11 | $630.96 | $1,148.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $954.99 | Professional | UE · Used equipment | $467.74 | $467.74 | $954.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $1,096.48 Typical High $3,548.13 | Facility | None | $138.04 | $1,096.48 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $125.89 Median $141.25 Typical High $467.74 | Facility | RR · Rental | $125.89 | $141.25 | $467.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $1,047.13 | Professional | None | $478.63 | $954.99 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $47.86 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $47.86 | $147.91 | $147.91 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $724.44 Typical High $891.25 | Professional | UE · Used equipment | $363.08 | $724.44 | $891.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $933.25 | Facility | None | $165.96 | $194.98 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $758.58 | Facility | None | $199.53 | $199.53 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $1,584.89 | Professional | None | $169.82 | $199.53 | $1,584.89 |
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 $407.38 Median $724.44 Typical High $1,445.44 | Professional | None | $407.38 | $724.44 | $1,445.44 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $45.71 Median $72.44 Typical High $141.25 | Professional | RR · Rental | $45.71 | $72.44 | $141.25 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $537.03 Typical High $1,096.48 | Professional | UE · Used equipment | $302.00 | $537.03 | $1,096.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $1,096.48 Typical High $3,548.13 | Facility | None | $138.04 | $1,096.48 | $3,548.13 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $125.89 Median $141.25 Typical High $467.74 | Facility | RR · Rental | $125.89 | $141.25 | $467.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $1,047.13 | Professional | None | $478.63 | $954.99 | $1,047.13 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $47.86 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $47.86 | $147.91 | $147.91 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $724.44 Typical High $891.25 | Professional | UE · Used equipment | $363.08 | $724.44 | $891.25 |
United Setting Professional Modifier None Typical Low $407.38 Median $724.44 Typical High $1,445.44 | Professional | None | $407.38 | $724.44 | $1,445.44 |
United Setting Professional Modifier RR · Rental Typical Low $45.71 Median $72.44 Typical High $141.25 | Professional | RR · Rental | $45.71 | $72.44 | $141.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $537.03 Typical High $1,096.48 | Professional | UE · Used equipment | $302.00 | $537.03 | $1,096.48 |
Well Sense Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,754.23 | Facility | None | $1,202.26 | $1,548.82 | $2,754.23 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $891.25 Median $1,202.26 Typical High $2,041.74 | Facility | UE · Used equipment | $891.25 | $1,202.26 | $2,041.74 |
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 $89.13 Median $112.20 Typical High $208.93 | Facility | KJ · Rental month 4–15 | $89.13 | $112.20 | $208.93 |
Where Massachusetts sits
The same service costs 12.9 times more in North Dakota 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· 13th of 51
$832
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.