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 $295.12 Median $295.12 Typical High $1,348.96 | Facility | None | $295.12 | $295.12 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $1,348.96 | Professional | None | $190.55 | $295.12 | $1,348.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $218.78 Typical High $575.44 | Professional | UE · Used equipment | $144.54 | $218.78 | $575.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $467.74 Median $489.78 Typical High $1,513.56 | Facility | None | $467.74 | $489.78 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $154.88 | Facility | RR · Rental | $46.77 | $46.77 | $154.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $213.80 Median $489.78 Typical High $489.78 | Professional | None | $213.80 | $489.78 | $489.78 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $21.38 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $21.38 | $48.98 | $48.98 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $371.54 Typical High $371.54 | Professional | UE · Used equipment | $158.49 | $371.54 | $371.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | None | $416.87 | $416.87 | $426.58 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Facility | None | $331.13 | $331.13 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $575.44 | Professional | None | $281.84 | $331.13 | $575.44 |
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 $173.78 Median $309.03 Typical High $478.63 | Professional | None | $173.78 | $309.03 | $478.63 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $17.38 Median $30.20 Typical High $61.66 | Professional | RR · Rental | $17.38 | $30.20 | $61.66 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $223.87 Typical High $467.74 | Professional | UE · Used equipment | $128.82 | $223.87 | $467.74 |
Health New England Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Health New England Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | RR · Rental | $22.39 | $22.39 | $22.39 |
Mass General Brigham Setting Facility Modifier None Typical Low $467.74 Median $489.78 Typical High $1,513.56 | Facility | None | $467.74 | $489.78 | $1,513.56 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $154.88 | Facility | RR · Rental | $46.77 | $46.77 | $154.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $213.80 Median $489.78 Typical High $489.78 | Professional | None | $213.80 | $489.78 | $489.78 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $21.38 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $21.38 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $371.54 Typical High $371.54 | Professional | UE · Used equipment | $158.49 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $512.86 | Professional | None | $173.78 | $309.03 | $512.86 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $30.20 Typical High $51.29 | Professional | RR · Rental | $17.38 | $30.20 | $51.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $223.87 Typical High $363.08 | Professional | UE · Used equipment | $128.82 | $223.87 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,096.48 | Facility | None | $467.74 | $588.84 | $1,096.48 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $46.77 Median $58.88 Typical High $109.65 | Facility | RR · Rental | $46.77 | $58.88 | $109.65 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $346.74 Median $446.68 Typical High $794.33 | Facility | UE · Used equipment | $346.74 | $446.68 | $794.33 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | KUNU · Bidding program group 3 + New equipment | $676.08 | $676.08 | $676.08 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KURR · Bidding program group 3 + Rental | $67.61 | $67.61 | $67.61 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $512.86 | $512.86 | $512.86 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | KUNU · Bidding program group 3 + New equipment | $676.08 | $676.08 | $676.08 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KURR · Bidding program group 3 + Rental | $67.61 | $67.61 | $67.61 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $512.86 | $512.86 | $512.86 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $660.69 Median $831.76 Typical High $1,513.56 | Facility | KU · Bidding program group 3 | $660.69 | $831.76 | $1,513.56 |
Where Massachusetts sits
The same service costs 2.8 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· 14th of 51
$427
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.