How much rates vary
Facilitymedian $209 · 10th to 90th $151 to $389Professionalmedian $138 · 10th to 90th $69 to $162
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 $93.33 Median $93.33 Typical High $426.58 | Facility | None | $93.33 | $93.33 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $426.58 | Professional | None | $64.57 | $93.33 | $426.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $70.79 Typical High $208.93 | Professional | UE · Used equipment | $48.98 | $70.79 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $501.19 | Facility | None | $154.88 | $154.88 | $501.19 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $51.29 | Facility | RR · Rental | $15.49 | $15.49 | $51.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $69.18 Median $162.18 Typical High $162.18 | Professional | None | $69.18 | $162.18 | $162.18 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $6.92 Median $16.22 Typical High $16.22 | Professional | RR · Rental | $6.92 | $16.22 | $16.22 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $51.29 | $123.03 | $123.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $223.87 Median $257.04 Typical High $338.84 | Facility | None | $223.87 | $257.04 | $338.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | None | $138.04 | $138.04 | $141.25 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | RR · Rental | $13.80 | $13.80 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $144.54 | Facility | None | $114.82 | $114.82 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $190.55 | Professional | None | $97.72 | $114.82 | $190.55 |
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 $56.23 Median $104.71 Typical High $162.18 | Professional | None | $56.23 | $104.71 | $162.18 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $5.62 Median $9.77 Typical High $20.42 | Professional | RR · Rental | $5.62 | $9.77 | $20.42 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $74.13 Typical High $151.36 | Professional | UE · Used equipment | $42.66 | $74.13 | $151.36 |
Health New England Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Health New England Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | RR · Rental | $7.41 | $7.41 | $7.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $501.19 | Facility | None | $154.88 | $154.88 | $501.19 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $51.29 | Facility | RR · Rental | $15.49 | $15.49 | $51.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $69.18 Median $162.18 Typical High $162.18 | Professional | None | $69.18 | $162.18 | $162.18 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $6.92 Median $16.22 Typical High $16.22 | Professional | RR · Rental | $6.92 | $16.22 | $16.22 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $51.29 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $56.23 Median $104.71 Typical High $165.96 | Professional | None | $56.23 | $104.71 | $165.96 |
United Setting Professional Modifier RR · Rental Typical Low $5.62 Median $9.77 Typical High $16.22 | Professional | RR · Rental | $5.62 | $9.77 | $16.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $74.13 Typical High $120.23 | Professional | UE · Used equipment | $42.66 | $74.13 | $120.23 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $354.81 | Facility | None | $154.88 | $194.98 | $354.81 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $15.49 Median $19.50 Typical High $35.48 | Facility | RR · Rental | $15.49 | $19.50 | $35.48 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $114.82 Median $144.54 Typical High $269.15 | Facility | UE · Used equipment | $114.82 | $144.54 | $269.15 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | KUNU · Bidding program group 3 + New equipment | $218.78 | $218.78 | $218.78 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | KURR · Bidding program group 3 + Rental | $21.88 | $21.88 | $21.88 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | KUUE · Bidding program group 3 + Used equipment | $165.96 | $165.96 | $165.96 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | KUNU · Bidding program group 3 + New equipment | $218.78 | $218.78 | $218.78 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | KURR · Bidding program group 3 + Rental | $21.88 | $21.88 | $21.88 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | KUUE · Bidding program group 3 + Used equipment | $165.96 | $165.96 | $165.96 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $208.93 Median $263.03 Typical High $489.78 | Facility | KU · Bidding program group 3 | $208.93 | $263.03 | $489.78 |
Where Massachusetts sits
The same service costs 2.6 times more in Hawaii 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
$155
HI $214IL $83.18
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.