How much rates vary
Facilitymedian $501 · 10th to 90th $324 to $871Professionalmedian $302 · 10th to 90th $166 to $355
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 $229.09 Median $229.09 Typical High $1,047.13 | Facility | None | $229.09 | $229.09 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $630.96 | Professional | None | $151.36 | $229.09 | $630.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $169.82 Typical High $478.63 | Professional | UE · Used equipment | $112.20 | $169.82 | $478.63 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $354.81 Typical High $1,071.52 | Facility | None | $331.13 | $354.81 | $1,071.52 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $33.11 Median $34.67 Typical High $112.20 | Facility | RR · Rental | $33.11 | $34.67 | $112.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $354.81 | Professional | None | $165.96 | $354.81 | $354.81 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $16.60 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $16.60 | $35.48 | $35.48 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $125.89 | $263.03 | $263.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $501.19 Median $575.44 Typical High $776.25 | Facility | None | $501.19 | $575.44 | $776.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | None | $302.00 | $302.00 | $331.13 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | RR · Rental | $30.20 | $30.20 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Facility | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $426.58 | Professional | None | $208.93 | $245.47 | $426.58 |
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 $125.89 Median $239.88 Typical High $371.54 | Professional | None | $125.89 | $239.88 | $371.54 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $12.59 Median $22.91 Typical High $46.77 | Professional | RR · Rental | $12.59 | $22.91 | $46.77 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $169.82 Typical High $354.81 | Professional | UE · Used equipment | $95.50 | $169.82 | $354.81 |
Health New England Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Health New England Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | RR · Rental | $22.91 | $22.91 | $22.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $354.81 Typical High $1,071.52 | Facility | None | $331.13 | $354.81 | $1,071.52 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $33.11 Median $34.67 Typical High $112.20 | Facility | RR · Rental | $33.11 | $34.67 | $112.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $354.81 | Professional | None | $165.96 | $354.81 | $354.81 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $16.60 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $16.60 | $35.48 | $35.48 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $125.89 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $407.38 | Professional | None | $125.89 | $239.88 | $407.38 |
United Setting Professional Modifier RR · Rental Typical Low $12.59 Median $22.91 Typical High $40.74 | Professional | RR · Rental | $12.59 | $22.91 | $40.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $169.82 Typical High $281.84 | Professional | UE · Used equipment | $95.50 | $169.82 | $281.84 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $776.25 | Facility | None | $331.13 | $436.52 | $776.25 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $33.11 Median $41.69 Typical High $77.62 | Facility | RR · Rental | $33.11 | $41.69 | $77.62 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $251.19 Median $323.59 Typical High $562.34 | Facility | UE · Used equipment | $251.19 | $323.59 | $562.34 |
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 KUNU · Bidding program group 3 + New equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KUNU · Bidding program group 3 + New equipment | $537.03 | $537.03 | $537.03 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KURR · Bidding program group 3 + Rental | $53.70 | $53.70 | $53.70 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | KUUE · Bidding program group 3 + Used equipment | $398.11 | $398.11 | $398.11 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KUNU · Bidding program group 3 + New equipment | $537.03 | $537.03 | $537.03 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KURR · Bidding program group 3 + Rental | $53.70 | $53.70 | $53.70 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | KUUE · Bidding program group 3 + Used equipment | $398.11 | $398.11 | $398.11 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $512.86 Median $645.65 Typical High $1,174.90 | Facility | KU · Bidding program group 3 | $512.86 | $645.65 | $1,174.90 |
Where Massachusetts sits
The same service costs 2.7 times more in Hawaii 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
$331
HI $490IL $182
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.