How much rates vary
Facilitymedian $28 · 10th to 90th $22 to $83Professionalmedian $19 · 10th to 90th $9 to $28
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 $12.88 Median $12.88 Typical High $58.88 | Facility | None | $12.88 | $12.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $58.88 | Professional | None | $12.30 | $12.88 | $58.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9.33 Median $9.55 Typical High $43.65 | Professional | UE · Used equipment | $9.33 | $9.55 | $43.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $83.18 | Facility | None | $24.55 | $25.70 | $83.18 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $2.45 Median $2.57 Typical High $8.71 | Facility | RR · Rental | $2.45 | $2.57 | $8.71 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.33 Median $27.54 Typical High $27.54 | Professional | None | $9.33 | $27.54 | $27.54 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $0.93 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $0.93 | $2.75 | $2.75 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $7.08 | $20.42 | $20.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $23.44 | Professional | None | $18.62 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $30.20 | Professional | None | $14.79 | $17.38 | $30.20 |
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 $8.91 Median $14.45 Typical High $25.70 | Professional | None | $8.91 | $14.45 | $25.70 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $0.89 Median $1.45 Typical High $2.95 | Professional | RR · Rental | $0.89 | $1.45 | $2.95 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $6.76 Median $10.72 Typical High $22.39 | Professional | UE · Used equipment | $6.76 | $10.72 | $22.39 |
Health New England Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Health New England Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | RR · Rental | $1.29 | $1.29 | $1.29 |
Mass General Brigham Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $83.18 | Facility | None | $24.55 | $25.70 | $83.18 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $2.45 Median $2.57 Typical High $8.71 | Facility | RR · Rental | $2.45 | $2.57 | $8.71 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.33 Median $27.54 Typical High $27.54 | Professional | None | $9.33 | $27.54 | $27.54 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $0.93 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $0.93 | $2.75 | $2.75 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $7.08 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $25.70 | Professional | None | $8.91 | $14.45 | $25.70 |
United Setting Professional Modifier RR · Rental Typical Low $0.89 Median $1.45 Typical High $2.57 | Professional | RR · Rental | $0.89 | $1.45 | $2.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.76 Median $10.72 Typical High $19.50 | Professional | UE · Used equipment | $6.76 | $10.72 | $19.50 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $60.26 | Facility | None | $26.30 | $35.48 | $60.26 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $2.57 Median $3.31 Typical High $6.03 | Facility | RR · Rental | $2.57 | $3.31 | $6.03 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $19.50 Median $25.12 Typical High $43.65 | Facility | UE · Used equipment | $19.50 | $25.12 | $43.65 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | KUNU · Bidding program group 3 + New equipment | $30.20 | $30.20 | $30.20 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | KURR · Bidding program group 3 + Rental | $2.95 | $2.95 | $2.95 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | KUUE · Bidding program group 3 + Used equipment | $22.39 | $22.39 | $22.39 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | KUNU · Bidding program group 3 + New equipment | $30.20 | $30.20 | $30.20 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | KURR · Bidding program group 3 + Rental | $2.95 | $2.95 | $2.95 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | KUUE · Bidding program group 3 + Used equipment | $22.39 | $22.39 | $22.39 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $28.84 Median $36.31 Typical High $67.61 | Facility | KU · Bidding program group 3 | $28.84 | $36.31 | $67.61 |
Where Massachusetts sits
The same service costs 3.1 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· 12th of 51
$23.44
KS $36.31NM $11.75
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.