How much rates vary
Facilitymedian $47 · 10th to 90th $40 to $135Professionalmedian $37 · 10th to 90th $18 to $45
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 $24.55 Median $24.55 Typical High $114.82 | Facility | None | $24.55 | $24.55 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $95.50 | Professional | None | $16.22 | $24.55 | $95.50 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $18.62 Typical High $72.44 | Professional | UE · Used equipment | $12.30 | $18.62 | $72.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $42.66 Median $44.67 Typical High $138.04 | Facility | None | $42.66 | $44.67 | $138.04 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $14.13 | Facility | RR · Rental | $4.27 | $4.27 | $14.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $18.20 Median $44.67 Typical High $44.67 | Professional | None | $18.20 | $44.67 | $44.67 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $1.82 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $1.82 | $4.47 | $4.47 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $13.49 | $33.88 | $33.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | None | $35.48 | $38.02 | $38.02 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | RR · Rental | $3.55 | $3.55 | $3.55 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Facility | None | $30.20 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $52.48 | Professional | None | $25.70 | $30.20 | $52.48 |
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 $15.49 Median $26.30 Typical High $42.66 | Professional | None | $15.49 | $26.30 | $42.66 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.55 Median $2.63 Typical High $5.50 | Professional | RR · Rental | $1.55 | $2.63 | $5.50 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $19.95 Typical High $40.74 | Professional | UE · Used equipment | $11.48 | $19.95 | $40.74 |
Health New England Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Health New England Setting Professional Modifier RR · Rental Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | RR · Rental | $2.95 | $2.95 | $2.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $42.66 Median $44.67 Typical High $138.04 | Facility | None | $42.66 | $44.67 | $138.04 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $14.13 | Facility | RR · Rental | $4.27 | $4.27 | $14.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $18.20 Median $44.67 Typical High $44.67 | Professional | None | $18.20 | $44.67 | $44.67 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $1.82 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $1.82 | $4.47 | $4.47 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $13.49 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $43.65 | Professional | None | $15.49 | $26.30 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $1.55 Median $2.63 Typical High $4.27 | Professional | RR · Rental | $1.55 | $2.63 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $19.95 Typical High $31.62 | Professional | UE · Used equipment | $11.48 | $19.95 | $31.62 |
Well Sense Setting Facility Modifier None Typical Low $42.66 Median $53.70 Typical High $100.00 | Facility | None | $42.66 | $53.70 | $100.00 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $4.27 Median $5.37 Typical High $10.00 | Facility | RR · Rental | $4.27 | $5.37 | $10.00 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $31.62 Median $39.81 Typical High $74.13 | Facility | UE · Used equipment | $31.62 | $39.81 | $74.13 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | KUNU · Bidding program group 3 + New equipment | $57.54 | $57.54 | $57.54 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | KURR · Bidding program group 3 + Rental | $5.75 | $5.75 | $5.75 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KUUE · Bidding program group 3 + Used equipment | $43.65 | $43.65 | $43.65 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KUNU · Bidding program group 3 + New equipment | $57.54 | $57.54 | $57.54 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | KURR · Bidding program group 3 + Rental | $5.75 | $5.75 | $5.75 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KUUE · Bidding program group 3 + Used equipment | $43.65 | $43.65 | $43.65 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $54.95 Median $70.79 Typical High $128.82 | Facility | KU · Bidding program group 3 | $54.95 | $70.79 | $128.82 |
Where Massachusetts sits
The same service costs 2.7 times more in Kansas than in New Mexico. 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
$38.02
KS $60.26NM $22.39
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.