How much rates vary
Facilitymedian $13 · 10th to 90th $10 to $43Professionalmedian $9 · 10th to 90th $4 to $13
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 $5.89 Median $5.89 Typical High $26.92 | Facility | None | $5.89 | $5.89 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $26.92 | Professional | None | $5.89 | $5.89 | $26.92 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.37 Median $4.37 Typical High $19.95 | Professional | UE · Used equipment | $4.37 | $4.37 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $40.74 | Facility | None | $11.22 | $12.30 | $40.74 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $1.12 Median $1.23 Typical High $4.07 | Facility | RR · Rental | $1.12 | $1.23 | $4.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.27 Median $12.88 Typical High $12.88 | Professional | None | $4.27 | $12.88 | $12.88 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $0.43 Median $1.29 Typical High $1.29 | Professional | RR · Rental | $0.43 | $1.29 | $1.29 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $3.24 Median $9.77 Typical High $9.77 | Professional | UE · Used equipment | $3.24 | $9.77 | $9.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $10.96 | Professional | None | $8.51 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $15.14 | Professional | None | $6.76 | $7.94 | $15.14 |
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 $4.17 Median $6.61 Typical High $12.30 | Professional | None | $4.17 | $6.61 | $12.30 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $0.42 Median $0.66 Typical High $1.35 | Professional | RR · Rental | $0.42 | $0.66 | $1.35 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $3.16 Median $4.90 Typical High $10.23 | Professional | UE · Used equipment | $3.16 | $4.90 | $10.23 |
Health New England Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Health New England Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $40.74 | Facility | None | $11.22 | $12.30 | $40.74 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $1.12 Median $1.23 Typical High $4.07 | Facility | RR · Rental | $1.12 | $1.23 | $4.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.27 Median $12.88 Typical High $12.88 | Professional | None | $4.27 | $12.88 | $12.88 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $0.43 Median $1.29 Typical High $1.29 | Professional | RR · Rental | $0.43 | $1.29 | $1.29 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $3.24 Median $9.77 Typical High $9.77 | Professional | UE · Used equipment | $3.24 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.61 Typical High $12.30 | Professional | None | $4.17 | $6.61 | $12.30 |
United Setting Professional Modifier RR · Rental Typical Low $0.42 Median $0.66 Typical High $1.23 | Professional | RR · Rental | $0.42 | $0.66 | $1.23 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.16 Median $4.90 Typical High $9.12 | Professional | UE · Used equipment | $3.16 | $4.90 | $9.12 |
Well Sense Setting Facility Modifier None Typical Low $12.30 Median $15.85 Typical High $28.18 | Facility | None | $12.30 | $15.85 | $28.18 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $1.23 Median $1.51 Typical High $2.88 | Facility | RR · Rental | $1.23 | $1.51 | $2.88 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $9.12 Median $12.30 Typical High $20.89 | Facility | UE · Used equipment | $9.12 | $12.30 | $20.89 |
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 $13.80 Median $13.80 Typical High $13.80 | Professional | KUNU · Bidding program group 3 + New equipment | $13.80 | $13.80 | $13.80 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | KURR · Bidding program group 3 + Rental | $1.35 | $1.35 | $1.35 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | KUUE · Bidding program group 3 + Used equipment | $10.23 | $10.23 | $10.23 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | KUNU · Bidding program group 3 + New equipment | $13.80 | $13.80 | $13.80 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | KURR · Bidding program group 3 + Rental | $1.35 | $1.35 | $1.35 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | KUUE · Bidding program group 3 + Used equipment | $10.23 | $10.23 | $10.23 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $13.18 Median $16.98 Typical High $30.20 | Facility | KU · Bidding program group 3 | $13.18 | $16.98 | $30.20 |
Where Massachusetts sits
The same service costs 2.3 times more in Kansas 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
$10.96
KS $14.45IL $6.31
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.