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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $977.24 | Professional | None | $501.19 | $794.33 | $977.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $602.56 Typical High $776.25 | Professional | UE · Used equipment | $588.84 | $602.56 | $776.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $1,412.54 Typical High $4,570.88 | Facility | None | $173.78 | $1,412.54 | $4,570.88 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $162.18 Median $177.83 Typical High $588.84 | Facility | RR · Rental | $162.18 | $177.83 | $588.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,230.27 Typical High $1,318.26 | Professional | None | $616.60 | $1,230.27 | $1,318.26 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $61.66 Median $186.21 Typical High $186.21 | Professional | RR · Rental | $61.66 | $186.21 | $186.21 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $912.01 Typical High $1,148.15 | Professional | UE · Used equipment | $457.09 | $912.01 | $1,148.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $1,174.90 | Facility | None | $208.93 | $251.19 | $1,174.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,659.59 | $1,659.59 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $114.82 Median $165.96 Typical High $165.96 | Professional | RR · Rental | $114.82 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $870.96 | Facility | None | $512.86 | $512.86 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $1,819.70 | Professional | None | $436.52 | $512.86 | $1,819.70 |
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 $512.86 Median $912.01 Typical High $1,862.09 | Professional | None | $512.86 | $912.01 | $1,862.09 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $58.88 Median $91.20 Typical High $177.83 | Professional | RR · Rental | $58.88 | $91.20 | $177.83 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $691.83 Typical High $1,380.38 | Professional | UE · Used equipment | $389.05 | $691.83 | $1,380.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $1,412.54 Typical High $4,570.88 | Facility | None | $173.78 | $1,412.54 | $4,570.88 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $162.18 Median $177.83 Typical High $588.84 | Facility | RR · Rental | $162.18 | $177.83 | $588.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $616.60 Median $1,230.27 Typical High $1,318.26 | Professional | None | $616.60 | $1,230.27 | $1,318.26 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $61.66 Median $186.21 Typical High $186.21 | Professional | RR · Rental | $61.66 | $186.21 | $186.21 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $912.01 Typical High $1,148.15 | Professional | UE · Used equipment | $457.09 | $912.01 | $1,148.15 |
United Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,862.09 | Professional | None | $512.86 | $912.01 | $1,862.09 |
United Setting Professional Modifier RR · Rental Typical Low $58.88 Median $91.20 Typical High $177.83 | Professional | RR · Rental | $58.88 | $91.20 | $177.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $691.83 Typical High $1,380.38 | Professional | UE · Used equipment | $389.05 | $691.83 | $1,380.38 |
Well Sense Setting Facility Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $3,548.13 | Facility | None | $1,513.56 | $1,995.26 | $3,548.13 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $1,148.15 Median $1,479.11 Typical High $2,570.40 | Facility | UE · Used equipment | $1,148.15 | $1,479.11 | $2,570.40 |
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 $114.82 Median $141.25 Typical High $263.03 | Facility | KJ · Rental month 4–15 | $114.82 | $141.25 | $263.03 |
Where Massachusetts sits
The same service costs 12.6 times more in North Dakota 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· 12th of 51
$1,148
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.