How much rates vary
Facilitymedian $85 · 10th to 90th $63 to $245Professionalmedian $81 · 10th to 90th $48 to $105
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 $63.10 Median $63.10 Typical High $288.40 | Facility | None | $63.10 | $63.10 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $190.55 | Professional | None | $46.77 | $63.10 | $190.55 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $46.77 Typical High $144.54 | Professional | UE · Used equipment | $35.48 | $46.77 | $144.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $257.04 | Facility | None | $79.43 | $85.11 | $257.04 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $7.94 Median $8.51 Typical High $26.30 | Facility | RR · Rental | $7.94 | $8.51 | $26.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $100.00 | Professional | None | $47.86 | $83.18 | $100.00 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $4.79 Median $8.32 Typical High $10.00 | Professional | RR · Rental | $4.79 | $8.32 | $10.00 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $61.66 Typical High $75.86 | Professional | UE · Used equipment | $35.48 | $61.66 | $75.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | None | $70.79 | $70.79 | $104.71 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.08 Typical High $10.47 | Professional | RR · Rental | $7.08 | $7.08 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $109.65 | Professional | None | $51.29 | $60.26 | $109.65 |
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 $31.62 Median $69.18 Typical High $117.49 | Professional | None | $31.62 | $69.18 | $117.49 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $3.16 Median $6.17 Typical High $12.30 | Professional | RR · Rental | $3.16 | $6.17 | $12.30 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $46.77 Typical High $93.33 | Professional | UE · Used equipment | $23.99 | $46.77 | $93.33 |
Health New England Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Health New England Setting Professional Modifier RR · Rental Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | RR · Rental | $7.24 | $7.24 | $7.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $257.04 | Facility | None | $79.43 | $85.11 | $257.04 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $7.94 Median $8.51 Typical High $26.30 | Facility | RR · Rental | $7.94 | $8.51 | $26.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $100.00 | Professional | None | $47.86 | $83.18 | $100.00 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $4.79 Median $8.32 Typical High $10.00 | Professional | RR · Rental | $4.79 | $8.32 | $10.00 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $61.66 Typical High $75.86 | Professional | UE · Used equipment | $35.48 | $61.66 | $75.86 |
United Setting Professional Modifier None Typical Low $31.62 Median $69.18 Typical High $120.23 | Professional | None | $31.62 | $69.18 | $120.23 |
United Setting Professional Modifier RR · Rental Typical Low $3.16 Median $6.17 Typical High $11.75 | Professional | RR · Rental | $3.16 | $6.17 | $11.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $46.77 Typical High $89.13 | Professional | UE · Used equipment | $23.99 | $46.77 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $154.88 | Facility | None | $66.07 | $85.11 | $154.88 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $6.61 Median $8.51 Typical High $15.49 | Facility | RR · Rental | $6.61 | $8.51 | $15.49 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $50.12 Median $64.57 Typical High $117.49 | Facility | UE · Used equipment | $50.12 | $64.57 | $117.49 |
13 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 KENU · Bid item, non-bid base + New equipment Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KENU · Bid item, non-bid base + New equipment | $134.90 | $134.90 | $134.90 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | KERR · Bid item, non-bid base + Rental | $13.49 | $13.49 | $13.49 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KEUE · Bid item, non-bid base + Used equipment | $100.00 | $100.00 | $100.00 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KUNU · Bidding program group 3 + New equipment | $144.54 | $144.54 | $144.54 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | KURR · Bidding program group 3 + Rental | $14.45 | $14.45 | $14.45 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | KUUE · Bidding program group 3 + Used equipment | $109.65 | $109.65 | $109.65 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KENU · Bid item, non-bid base + New equipment | $134.90 | $134.90 | $134.90 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | KERR · Bid item, non-bid base + Rental | $13.49 | $13.49 | $13.49 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KEUE · Bid item, non-bid base + Used equipment | $100.00 | $100.00 | $100.00 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KUNU · Bidding program group 3 + New equipment | $144.54 | $144.54 | $144.54 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | KURR · Bidding program group 3 + Rental | $14.45 | $14.45 | $14.45 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | KUUE · Bidding program group 3 + Used equipment | $109.65 | $109.65 | $109.65 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $141.25 Median $177.83 Typical High $323.59 | Facility | KU · Bidding program group 3 | $141.25 | $177.83 | $323.59 |
Where Massachusetts sits
The same service costs 2.9 times more in Hawaii 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· 16th of 51
$83.18
HI $138NM $47.86
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.