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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,047.13 | Professional | None | $524.81 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $794.33 | Professional | UE · Used equipment | $562.34 | $562.34 | $794.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $1,288.25 Typical High $4,168.69 | Facility | None | $162.18 | $1,288.25 | $4,168.69 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $151.36 Median $165.96 Typical High $549.54 | Facility | RR · Rental | $151.36 | $165.96 | $549.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $1,230.27 | Professional | None | $562.34 | $1,148.15 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $56.23 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $56.23 | $173.78 | $173.78 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $426.58 Median $851.14 Typical High $1,047.13 | Professional | UE · Used equipment | $426.58 | $851.14 | $1,047.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $1,096.48 | Facility | None | $194.98 | $234.42 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Facility | None | $851.14 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,659.59 | Professional | None | $891.25 | $1,047.13 | $1,659.59 |
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 $478.63 Median $851.14 Typical High $1,698.24 | Professional | None | $478.63 | $851.14 | $1,698.24 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $53.70 Median $85.11 Typical High $165.96 | Professional | RR · Rental | $53.70 | $85.11 | $165.96 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $630.96 Typical High $1,288.25 | Professional | UE · Used equipment | $354.81 | $630.96 | $1,288.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $1,288.25 Typical High $4,168.69 | Facility | None | $162.18 | $1,288.25 | $4,168.69 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $151.36 Median $165.96 Typical High $549.54 | Facility | RR · Rental | $151.36 | $165.96 | $549.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $1,230.27 | Professional | None | $562.34 | $1,148.15 | $1,230.27 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $56.23 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $56.23 | $173.78 | $173.78 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $426.58 Median $851.14 Typical High $1,047.13 | Professional | UE · Used equipment | $426.58 | $851.14 | $1,047.13 |
United Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,698.24 | Professional | None | $478.63 | $851.14 | $1,698.24 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $85.11 Typical High $165.96 | Professional | RR · Rental | $53.70 | $85.11 | $165.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $630.96 Typical High $1,288.25 | Professional | UE · Used equipment | $354.81 | $630.96 | $1,288.25 |
Well Sense Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $3,311.31 | Facility | None | $1,412.54 | $1,819.70 | $3,311.31 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $1,047.13 Median $1,412.54 Typical High $2,398.83 | Facility | UE · Used equipment | $1,047.13 | $1,412.54 | $2,398.83 |
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 $104.71 Median $131.83 Typical High $245.47 | Facility | KJ · Rental month 4–15 | $104.71 | $131.83 | $245.47 |
Where Massachusetts sits
The same service costs 12.9 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· 15th of 51
$1,047
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.