How much rates vary
Facilitymedian $58 · 10th to 90th $44 to $178Professionalmedian $35 · 10th to 90th $19 to $59
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 $26.30 Median $26.30 Typical High $120.23 | Facility | None | $26.30 | $26.30 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $120.23 | Professional | None | $26.30 | $26.30 | $120.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $72.44 | Professional | UE · Used equipment | $19.95 | $19.95 | $72.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $56.23 Typical High $181.97 | Facility | None | $50.12 | $56.23 | $181.97 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.01 Median $5.62 Typical High $18.62 | Facility | RR · Rental | $5.01 | $5.62 | $18.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $19.50 Median $58.88 Typical High $58.88 | Professional | None | $19.50 | $58.88 | $58.88 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $1.95 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $1.95 | $5.89 | $5.89 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $14.45 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Facility | None | $35.48 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $63.10 | Professional | None | $30.20 | $35.48 | $63.10 |
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 $19.05 Median $29.51 Typical High $56.23 | Professional | None | $19.05 | $29.51 | $56.23 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.91 Median $2.95 Typical High $6.17 | Professional | RR · Rental | $1.91 | $2.95 | $6.17 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $22.39 Typical High $45.71 | Professional | UE · Used equipment | $14.45 | $22.39 | $45.71 |
Health New England Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Health New England Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.69 | $2.69 | $2.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $56.23 Typical High $181.97 | Facility | None | $50.12 | $56.23 | $181.97 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.01 Median $5.62 Typical High $18.62 | Facility | RR · Rental | $5.01 | $5.62 | $18.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $19.50 Median $58.88 Typical High $58.88 | Professional | None | $19.50 | $58.88 | $58.88 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $1.95 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $1.95 | $5.89 | $5.89 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $14.45 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $56.23 | Professional | None | $19.05 | $29.51 | $56.23 |
United Setting Professional Modifier RR · Rental Typical Low $1.91 Median $2.95 Typical High $5.62 | Professional | RR · Rental | $1.91 | $2.95 | $5.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $22.39 Typical High $41.69 | Professional | UE · Used equipment | $14.45 | $22.39 | $41.69 |
Well Sense Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $109.65 | Facility | None | $47.86 | $58.88 | $109.65 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $4.79 Median $5.89 Typical High $10.96 | Facility | RR · Rental | $4.79 | $5.89 | $10.96 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $35.48 Median $46.77 Typical High $81.28 | Facility | UE · Used equipment | $35.48 | $46.77 | $81.28 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | KUNU · Bidding program group 3 + New equipment | $61.66 | $61.66 | $61.66 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | KURR · Bidding program group 3 + Rental | $6.17 | $6.17 | $6.17 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | KUUE · Bidding program group 3 + Used equipment | $46.77 | $46.77 | $46.77 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KUNU · Bidding program group 3 + New equipment | $61.66 | $61.66 | $61.66 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | KURR · Bidding program group 3 + Rental | $6.17 | $6.17 | $6.17 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | KUUE · Bidding program group 3 + Used equipment | $46.77 | $46.77 | $46.77 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $58.88 Median $74.13 Typical High $138.04 | Facility | KU · Bidding program group 3 | $58.88 | $74.13 | $138.04 |
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· 11th of 51
$47.86
KS $64.57NM $23.99
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.