How much rates vary
Facilitymedian $71 · 10th to 90th $50 to $123Professionalmedian $46 · 10th to 90th $18 to $58
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $100.00 | Professional | None | $37.15 | $38.90 | $100.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $29.51 Typical High $74.13 | Professional | UE · Used equipment | $27.54 | $29.51 | $74.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $169.82 | Facility | None | $51.29 | $53.70 | $169.82 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.13 Median $5.37 Typical High $16.98 | Facility | RR · Rental | $5.13 | $5.37 | $16.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $22.91 Median $53.70 Typical High $53.70 | Professional | None | $22.91 | $53.70 | $53.70 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.51 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $2.51 | $5.37 | $5.37 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $17.38 | $39.81 | $39.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $109.65 | Facility | None | $70.79 | $81.28 | $109.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | None | $54.95 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $47.86 | Facility | None | $36.31 | $36.31 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $67.61 | Professional | None | $30.90 | $36.31 | $67.61 |
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 $17.78 Median $32.36 Typical High $51.29 | Professional | None | $17.78 | $32.36 | $51.29 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.82 Median $3.02 Typical High $6.92 | Professional | RR · Rental | $1.82 | $3.02 | $6.92 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $22.91 Typical High $47.86 | Professional | UE · Used equipment | $13.49 | $22.91 | $47.86 |
Health New England Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Health New England Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $1.38 | $1.38 | $1.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $169.82 | Facility | None | $51.29 | $53.70 | $169.82 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.13 Median $5.37 Typical High $16.98 | Facility | RR · Rental | $5.13 | $5.37 | $16.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $22.91 Median $53.70 Typical High $53.70 | Professional | None | $22.91 | $53.70 | $53.70 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.51 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $2.51 | $5.37 | $5.37 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $17.38 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $17.78 Median $30.20 Typical High $51.29 | Professional | None | $17.78 | $30.20 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $1.82 Median $3.02 Typical High $5.37 | Professional | RR · Rental | $1.82 | $3.02 | $5.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $22.91 Typical High $38.02 | Professional | UE · Used equipment | $13.49 | $22.91 | $38.02 |
Well Sense Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $117.49 | Facility | None | $50.12 | $64.57 | $117.49 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $5.01 Median $6.31 Typical High $11.75 | Facility | RR · Rental | $5.01 | $6.31 | $11.75 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $38.02 Median $47.86 Typical High $87.10 | Facility | UE · Used equipment | $38.02 | $47.86 | $87.10 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | KUNU · Bidding program group 3 + New equipment | $64.57 | $64.57 | $64.57 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | KURR · Bidding program group 3 + Rental | $6.46 | $6.46 | $6.46 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | KUUE · Bidding program group 3 + Used equipment | $48.98 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KUNU · Bidding program group 3 + New equipment | $64.57 | $64.57 | $64.57 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | KURR · Bidding program group 3 + Rental | $6.46 | $6.46 | $6.46 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | KUUE · Bidding program group 3 + Used equipment | $48.98 | $48.98 | $48.98 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $61.66 Median $77.62 Typical High $144.54 | Facility | KU · Bidding program group 3 | $61.66 | $77.62 | $144.54 |
Where Massachusetts sits
The same service costs 2.5 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· 6th of 51
$53.70
KS $64.57NM $25.70
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.