How much rates vary
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 $1,258.93 Median $1,258.93 Typical High $5,754.40 | Facility | None | $1,258.93 | $1,258.93 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $5,011.87 | Professional | None | $954.99 | $1,258.93 | $5,011.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $933.25 Typical High $3,715.35 | Professional | UE · Used equipment | $707.95 | $933.25 | $3,715.35 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $2,454.71 Typical High $5,754.40 | Facility | None | $269.15 | $2,454.71 | $5,754.40 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $245.47 Median $257.04 Typical High $870.96 | Facility | RR · Rental | $245.47 | $257.04 | $870.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $2,238.72 | Professional | None | $1,047.13 | $2,137.96 | $2,238.72 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $104.71 Median $275.42 Typical High $275.42 | Professional | RR · Rental | $104.71 | $275.42 | $275.42 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $1,621.81 Typical High $1,659.59 | Professional | UE · Used equipment | $794.33 | $1,621.81 | $1,659.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $288.40 Median $338.84 Typical High $446.68 | Facility | None | $288.40 | $338.84 | $446.68 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,089.30 | $2,344.23 | $2,344.23 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | RR · Rental | $208.93 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,445.44 | Facility | None | $1,348.96 | $1,348.96 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,348.96 | $3,090.30 |
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 $891.25 Median $1,548.82 Typical High $2,570.40 | Professional | None | $891.25 | $1,548.82 | $2,570.40 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $89.13 Median $138.04 Typical High $281.84 | Professional | RR · Rental | $89.13 | $138.04 | $281.84 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $1,023.29 Typical High $2,137.96 | Professional | UE · Used equipment | $660.69 | $1,023.29 | $2,137.96 |
Health New England Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Health New England Setting Professional Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $144.54 | $144.54 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $2,454.71 Typical High $5,754.40 | Facility | None | $269.15 | $2,454.71 | $5,754.40 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $245.47 Median $257.04 Typical High $870.96 | Facility | RR · Rental | $245.47 | $257.04 | $870.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $2,238.72 | Professional | None | $1,047.13 | $2,137.96 | $2,238.72 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $104.71 Median $275.42 Typical High $275.42 | Professional | RR · Rental | $104.71 | $275.42 | $275.42 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $1,621.81 Typical High $1,659.59 | Professional | UE · Used equipment | $794.33 | $1,621.81 | $1,659.59 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $2,570.40 | Professional | None | $891.25 | $1,548.82 | $2,570.40 |
United Setting Professional Modifier RR · Rental Typical Low $89.13 Median $138.04 Typical High $257.04 | Professional | RR · Rental | $89.13 | $138.04 | $257.04 |
United Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Professional | UE · Used equipment | $660.69 | $1,023.29 | $1,949.84 |
Well Sense Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,454.71 | Facility | None | $2,187.76 | $2,187.76 | $2,454.71 |
6 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 KERR · Bid item, non-bid base + Rental Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | KERR · Bid item, non-bid base + Rental | $302.00 | $302.00 | $302.00 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | KURR · Bidding program group 3 + Rental | $288.40 | $288.40 | $288.40 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | KERR · Bid item, non-bid base + Rental | $302.00 | $302.00 | $302.00 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | KURR · Bidding program group 3 + Rental | $288.40 | $288.40 | $288.40 |
Well Sense Setting Facility Modifier KR · Partial-month rental Typical Low $10.72 Median $13.49 Typical High $16.60 | Facility | KR · Partial-month rental | $10.72 | $13.49 | $16.60 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $1,737.80 Median $2,238.72 Typical High $3,981.07 | Facility | KU · Bidding program group 3 | $1,737.80 | $2,238.72 | $3,981.07 |
Where Massachusetts sits
The same service costs 3.2 times more in North Dakota than in Mississippi. 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· 24th of 51
$1,905
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.