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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $776.25 | Professional | None | $724.44 | $776.25 | $776.25 |
Aetna Setting Professional Modifier RR · Rental Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | UE · Used equipment | $549.54 | $575.44 | $575.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $169.82 Median $1,174.90 Typical High $4,570.88 | Facility | None | $169.82 | $1,174.90 | $4,570.88 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $154.88 Median $173.78 Typical High $562.34 | Facility | RR · Rental | $154.88 | $173.78 | $562.34 |
AllWays Health Partners Setting Professional Modifier None Typical Low $58.88 Median $1,174.90 Typical High $1,174.90 | Professional | None | $58.88 | $1,174.90 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $87.10 Median $181.97 Typical High $977.24 | Professional | RR · Rental | $87.10 | $181.97 | $977.24 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | UE · Used equipment | $891.25 | $891.25 | $891.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $354.81 | Facility | None | $229.09 | $263.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | RR · Rental | $74.13 | $74.13 | $100.00 |
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 $58.88 Median $87.10 Typical High $575.44 | Professional | None | $58.88 | $87.10 | $575.44 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $87.10 Median $257.04 Typical High $257.04 | Professional | RR · Rental | $87.10 | $257.04 | $257.04 |
Health New England Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $125.89 | $125.89 | $125.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $169.82 Median $1,174.90 Typical High $4,570.88 | Facility | None | $169.82 | $1,174.90 | $4,570.88 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $154.88 Median $173.78 Typical High $562.34 | Facility | RR · Rental | $154.88 | $173.78 | $562.34 |
Mass General Brigham Setting Professional Modifier None Typical Low $58.88 Median $1,174.90 Typical High $1,174.90 | Professional | None | $58.88 | $1,174.90 | $1,174.90 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $87.10 Median $181.97 Typical High $977.24 | Professional | RR · Rental | $87.10 | $181.97 | $977.24 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | UE · Used equipment | $891.25 | $891.25 | $891.25 |
United Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $575.44 | Professional | None | $58.88 | $87.10 | $575.44 |
United Setting Professional Modifier RR · Rental Typical Low $58.88 Median $100.00 Typical High $269.15 | Professional | RR · Rental | $58.88 | $100.00 | $269.15 |
Well Sense Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $3,388.44 | Facility | None | $1,479.11 | $1,905.46 | $3,388.44 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $1,096.48 Median $1,479.11 Typical High $2,511.89 | Facility | UE · Used equipment | $1,096.48 | $1,479.11 | $2,511.89 |
Well Sense Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,174.90 | $1,412.54 |
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 $109.65 Median $141.25 Typical High $257.04 | Facility | KJ · Rental month 4–15 | $109.65 | $141.25 | $257.04 |
Where Massachusetts sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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· 31st of 51
$562
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.