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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $457.09 Typical High $1,047.13 | Professional | None | $281.84 | $457.09 | $1,047.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $363.08 Typical High $776.25 | Professional | UE · Used equipment | $302.00 | $363.08 | $776.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $2,238.72 | Facility | None | $602.56 | $707.95 | $2,238.72 |
AllWays Health Partners Setting Professional Modifier None Typical Low $338.84 Median $758.58 Typical High $776.25 | Professional | None | $338.84 | $758.58 | $776.25 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $30.90 Median $63.10 Typical High $70.79 | Professional | RR · Rental | $30.90 | $63.10 | $70.79 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $562.34 Typical High $616.60 | Professional | UE · Used equipment | $269.15 | $562.34 | $616.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,380.38 | $1,778.28 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $549.54 | Facility | None | $199.53 | $199.53 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $691.83 | Professional | None | $169.82 | $199.53 | $691.83 |
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 $338.84 Median $512.86 Typical High $831.76 | Professional | None | $338.84 | $512.86 | $831.76 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $30.90 Median $46.77 Typical High $75.86 | Professional | RR · Rental | $30.90 | $46.77 | $75.86 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $407.38 Typical High $724.44 | Professional | UE · Used equipment | $257.04 | $407.38 | $724.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $2,238.72 | Facility | None | $602.56 | $707.95 | $2,238.72 |
Mass General Brigham Setting Professional Modifier None Typical Low $338.84 Median $758.58 Typical High $776.25 | Professional | None | $338.84 | $758.58 | $776.25 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $30.90 Median $63.10 Typical High $70.79 | Professional | RR · Rental | $30.90 | $63.10 | $70.79 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $562.34 Typical High $616.60 | Professional | UE · Used equipment | $269.15 | $562.34 | $616.60 |
United Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $831.76 | Professional | None | $323.59 | $512.86 | $831.76 |
United Setting Professional Modifier RR · Rental Typical Low $29.51 Median $46.77 Typical High $75.86 | Professional | RR · Rental | $29.51 | $46.77 | $75.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $407.38 Typical High $660.69 | Professional | UE · Used equipment | $257.04 | $407.38 | $660.69 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $977.24 Typical High $1,737.80 | Facility | None | $758.58 | $977.24 | $1,737.80 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $562.34 Median $741.31 Typical High $1,318.26 | Facility | UE · Used equipment | $562.34 | $741.31 | $1,318.26 |
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 KH · Purchase or 1st rental month Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KH · Purchase or 1st rental month | $63.10 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier KI · Rental month 2–3 Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KI · Rental month 2–3 | $63.10 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier KJ · Rental month 4–15 Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | KJ · Rental month 4–15 | $56.23 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KH · Purchase or 1st rental month | $63.10 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KI · Rental month 2–3 Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KI · Rental month 2–3 | $63.10 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KJ · Rental month 4–15 Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | KJ · Rental month 4–15 | $56.23 | $63.10 | $63.10 |
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $53.70 Median $69.18 Typical High $125.89 | Facility | KJ · Rental month 4–15 | $53.70 | $69.18 | $125.89 |
Where Massachusetts sits
The same service costs 17.8 times more in North Dakota than in Wyoming. 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· 5th of 51
$759
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.