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 $831.76 Median $831.76 Typical High $3,801.89 | Facility | None | $831.76 | $831.76 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $2,398.83 | Professional | None | $831.76 | $831.76 | $2,398.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $1,905.46 | Professional | UE · Used equipment | $630.96 | $630.96 | $1,905.46 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $1,659.59 Typical High $3,890.45 | Facility | None | $295.12 | $1,659.59 | $3,890.45 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $165.96 Median $173.78 Typical High $575.44 | Facility | RR · Rental | $165.96 | $173.78 | $575.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $1,862.09 | Professional | None | $891.25 | $1,445.44 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $89.13 Median $186.21 Typical High $190.55 | Professional | RR · Rental | $89.13 | $186.21 | $190.55 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $1,071.52 Typical High $1,412.54 | Professional | UE · Used equipment | $676.08 | $1,071.52 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $302.00 | Facility | None | $194.98 | $229.09 | $302.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,584.89 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $141.25 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $537.03 | Facility | None | $501.19 | $501.19 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $2,089.30 | Professional | None | $426.58 | $501.19 | $2,089.30 |
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 $602.56 Median $1,258.93 Typical High $2,238.72 | Professional | None | $602.56 | $1,258.93 | $2,238.72 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $60.26 Median $107.15 Typical High $234.42 | Professional | RR · Rental | $60.26 | $107.15 | $234.42 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $794.33 Typical High $1,737.80 | Professional | UE · Used equipment | $446.68 | $794.33 | $1,737.80 |
Health New England Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Health New England Setting Professional Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | RR · Rental | $93.33 | $93.33 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $1,659.59 Typical High $3,890.45 | Facility | None | $295.12 | $1,659.59 | $3,890.45 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $165.96 Median $173.78 Typical High $575.44 | Facility | RR · Rental | $165.96 | $173.78 | $575.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $1,862.09 | Professional | None | $891.25 | $1,445.44 | $1,862.09 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $89.13 Median $186.21 Typical High $190.55 | Professional | RR · Rental | $89.13 | $186.21 | $190.55 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $1,071.52 Typical High $1,412.54 | Professional | UE · Used equipment | $676.08 | $1,071.52 | $1,412.54 |
United Setting Professional Modifier None Typical Low $602.56 Median $1,071.52 Typical High $2,238.72 | Professional | None | $602.56 | $1,071.52 | $2,238.72 |
United Setting Professional Modifier RR · Rental Typical Low $60.26 Median $107.15 Typical High $223.87 | Professional | RR · Rental | $60.26 | $107.15 | $223.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $794.33 Typical High $1,659.59 | Professional | UE · Used equipment | $446.68 | $794.33 | $1,659.59 |
Well Sense Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Facility | None | $1,412.54 | $1,412.54 | $1,659.59 |
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 KCRR · Wheelchair interface replaced + Rental Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | KCRR · Wheelchair interface replaced + Rental | $302.00 | $302.00 | $302.00 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | KERR · Bid item, non-bid base + Rental | $204.17 | $204.17 | $204.17 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | KURR · Bidding program group 3 + Rental | $316.23 | $316.23 | $316.23 |
Mass General Brigham Setting Professional Modifier KCRR · Wheelchair interface replaced + Rental Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | KCRR · Wheelchair interface replaced + Rental | $302.00 | $302.00 | $302.00 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | KERR · Bid item, non-bid base + Rental | $204.17 | $204.17 | $204.17 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | KURR · Bidding program group 3 + Rental | $316.23 | $316.23 | $316.23 |
Well Sense Setting Facility Modifier KC · Wheelchair interface replaced Typical Low $1,445.44 Median $1,819.70 Typical High $3,311.31 | Facility | KC · Wheelchair interface replaced | $1,445.44 | $1,819.70 | $3,311.31 |
Where Massachusetts sits
The same service costs 7.6 times more in Kansas 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· 16th of 51
$1,413
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.