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 $501.19 Median $501.19 Typical High $2,290.87 | Facility | None | $501.19 | $501.19 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $1,380.38 | Professional | None | $478.63 | $501.19 | $1,380.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $371.54 Typical High $1,047.13 | Professional | UE · Used equipment | $338.84 | $371.54 | $1,047.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $812.83 Median $870.96 Typical High $2,630.27 | Facility | None | $812.83 | $870.96 | $2,630.27 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $81.28 Median $83.18 Typical High $269.15 | Facility | RR · Rental | $81.28 | $83.18 | $269.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $363.08 Median $870.96 Typical High $870.96 | Professional | None | $363.08 | $870.96 | $870.96 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $36.31 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $36.31 | $87.10 | $87.10 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $645.65 Typical High $645.65 | Professional | UE · Used equipment | $269.15 | $645.65 | $645.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,412.54 | Facility | None | $912.01 | $1,071.52 | $1,412.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $741.31 | Professional | None | $724.44 | $741.31 | $741.31 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $72.44 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $72.44 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Facility | None | $575.44 | $575.44 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $1,047.13 | Professional | None | $489.78 | $575.44 | $1,047.13 |
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 $302.00 Median $524.81 Typical High $831.76 | Professional | None | $302.00 | $524.81 | $831.76 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $30.20 Median $51.29 Typical High $107.15 | Professional | RR · Rental | $30.20 | $51.29 | $107.15 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $389.05 Typical High $794.33 | Professional | UE · Used equipment | $223.87 | $389.05 | $794.33 |
Health New England Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Health New England Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $812.83 Median $870.96 Typical High $2,630.27 | Facility | None | $812.83 | $870.96 | $2,630.27 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $81.28 Median $83.18 Typical High $269.15 | Facility | RR · Rental | $81.28 | $83.18 | $269.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $363.08 Median $870.96 Typical High $870.96 | Professional | None | $363.08 | $870.96 | $870.96 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $36.31 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $36.31 | $87.10 | $87.10 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $645.65 Typical High $645.65 | Professional | UE · Used equipment | $269.15 | $645.65 | $645.65 |
United Setting Professional Modifier None Typical Low $302.00 Median $512.86 Typical High $831.76 | Professional | None | $302.00 | $512.86 | $831.76 |
United Setting Professional Modifier RR · Rental Typical Low $30.20 Median $51.29 Typical High $83.18 | Professional | RR · Rental | $30.20 | $51.29 | $83.18 |
United Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $389.05 Typical High $630.96 | Professional | UE · Used equipment | $223.87 | $389.05 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,905.46 | Facility | None | $812.83 | $1,071.52 | $1,905.46 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $81.28 Median $102.33 Typical High $190.55 | Facility | RR · Rental | $81.28 | $102.33 | $190.55 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $616.60 Median $812.83 Typical High $1,380.38 | Facility | UE · Used equipment | $616.60 | $812.83 | $1,380.38 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | KUNU · Bidding program group 3 + New equipment | $1,148.15 | $1,148.15 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | KURR · Bidding program group 3 + Rental | $114.82 | $114.82 | $114.82 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | KUUE · Bidding program group 3 + Used equipment | $870.96 | $870.96 | $870.96 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | KUNU · Bidding program group 3 + New equipment | $1,148.15 | $1,148.15 | $1,148.15 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | KURR · Bidding program group 3 + Rental | $114.82 | $114.82 | $114.82 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | KUUE · Bidding program group 3 + Used equipment | $870.96 | $870.96 | $870.96 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $1,122.02 Median $1,412.54 Typical High $2,570.40 | Facility | KU · Bidding program group 3 | $1,122.02 | $1,412.54 | $2,570.40 |
Where Massachusetts sits
The same service costs 2.6 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· 11th of 51
$813
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.