How much rates vary
Facilitymedian $54 · 10th to 90th $38 to $145Professionalmedian $46 · 10th to 90th $20 to $78
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $100.00 Typical High $100.00 | Professional | None | $33.11 | $100.00 | $100.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $38.90 Typical High $74.13 | Professional | UE · Used equipment | $24.55 | $38.90 | $74.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $44.67 Median $46.77 Typical High $147.91 | Facility | None | $44.67 | $46.77 | $147.91 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $4.57 Median $4.68 Typical High $14.79 | Facility | RR · Rental | $4.57 | $4.68 | $14.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.42 Median $46.77 Typical High $46.77 | Professional | None | $20.42 | $46.77 | $46.77 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.24 Median $4.68 Typical High $4.68 | Professional | RR · Rental | $2.24 | $4.68 | $4.68 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $35.48 Typical High $35.48 | Professional | UE · Used equipment | $15.49 | $35.48 | $35.48 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | None | $74.13 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $60.26 | Professional | None | $26.92 | $31.62 | $60.26 |
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 $15.85 Median $28.84 Typical High $45.71 | Professional | None | $15.85 | $28.84 | $45.71 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.69 Typical High $6.03 | Professional | RR · Rental | $1.58 | $2.69 | $6.03 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $20.42 Typical High $42.66 | Professional | UE · Used equipment | $12.02 | $20.42 | $42.66 |
Health New England Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $3.02 | $3.02 | $3.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $44.67 Median $46.77 Typical High $147.91 | Facility | None | $44.67 | $46.77 | $147.91 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $4.57 Median $4.68 Typical High $14.79 | Facility | RR · Rental | $4.57 | $4.68 | $14.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.42 Median $46.77 Typical High $46.77 | Professional | None | $20.42 | $46.77 | $46.77 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.24 Median $4.68 Typical High $4.68 | Professional | RR · Rental | $2.24 | $4.68 | $4.68 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $35.48 Typical High $35.48 | Professional | UE · Used equipment | $15.49 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $45.71 | Professional | None | $15.85 | $26.92 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.69 Typical High $4.79 | Professional | RR · Rental | $1.58 | $2.69 | $4.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $20.42 Typical High $33.11 | Professional | UE · Used equipment | $12.02 | $20.42 | $33.11 |
Well Sense Setting Facility Modifier None Typical Low $44.67 Median $56.23 Typical High $104.71 | Facility | None | $44.67 | $56.23 | $104.71 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $4.47 Median $5.62 Typical High $10.47 | Facility | RR · Rental | $4.47 | $5.62 | $10.47 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $33.11 Median $42.66 Typical High $77.62 | Facility | UE · Used equipment | $33.11 | $42.66 | $77.62 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | KUUE · Bidding program group 3 + Used equipment | $42.66 | $42.66 | $42.66 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | KUUE · Bidding program group 3 + Used equipment | $42.66 | $42.66 | $42.66 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $54.95 Median $69.18 Typical High $128.82 | Facility | KU · Bidding program group 3 | $54.95 | $69.18 | $128.82 |
Where Massachusetts sits
The same service costs 2.9 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· 9th of 51
$46.77
KS $66.07NM $22.91
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.