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 $741.31 Median $741.31 Typical High $3,388.44 | Facility | None | $741.31 | $741.31 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,698.24 | Professional | None | $741.31 | $741.31 | $1,698.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $1,318.26 | Professional | UE · Used equipment | $562.34 | $562.34 | $1,318.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $1,513.56 Typical High $3,548.13 | Facility | None | $316.23 | $1,513.56 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $154.88 Median $165.96 Typical High $549.54 | Facility | RR · Rental | $154.88 | $165.96 | $549.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,905.46 | Professional | None | $831.76 | $1,288.25 | $1,905.46 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $83.18 Median $173.78 Typical High $199.53 | Professional | RR · Rental | $83.18 | $173.78 | $199.53 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $954.99 Typical High $1,513.56 | Professional | UE · Used equipment | $630.96 | $954.99 | $1,513.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $288.40 | Facility | None | $186.21 | $213.80 | $288.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,479.11 | $1,479.11 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $123.03 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $851.14 | Facility | None | $794.33 | $794.33 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,949.84 | Professional | None | $676.08 | $794.33 | $1,949.84 |
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 $549.54 Median $1,122.02 Typical High $2,344.23 | Professional | None | $549.54 | $1,122.02 | $2,344.23 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $54.95 Median $107.15 Typical High $257.04 | Professional | RR · Rental | $54.95 | $107.15 | $257.04 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $812.83 Typical High $1,905.46 | Professional | UE · Used equipment | $416.87 | $812.83 | $1,905.46 |
Health New England Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Health New England Setting Professional Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $87.10 | $87.10 | $87.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $1,513.56 Typical High $3,548.13 | Facility | None | $316.23 | $1,513.56 | $3,548.13 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $154.88 Median $165.96 Typical High $549.54 | Facility | RR · Rental | $154.88 | $165.96 | $549.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,905.46 | Professional | None | $831.76 | $1,288.25 | $1,905.46 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $83.18 Median $173.78 Typical High $199.53 | Professional | RR · Rental | $83.18 | $173.78 | $199.53 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $954.99 Typical High $1,513.56 | Professional | UE · Used equipment | $630.96 | $954.99 | $1,513.56 |
United Setting Professional Modifier None Typical Low $549.54 Median $1,122.02 Typical High $2,344.23 | Professional | None | $549.54 | $1,122.02 | $2,344.23 |
United Setting Professional Modifier RR · Rental Typical Low $54.95 Median $112.20 Typical High $234.42 | Professional | RR · Rental | $54.95 | $112.20 | $234.42 |
United Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $812.83 Typical High $1,778.28 | Professional | UE · Used equipment | $416.87 | $812.83 | $1,778.28 |
Well Sense Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | KCRR · Wheelchair interface replaced + Rental | $338.84 | $338.84 | $338.84 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KERR · Bid item, non-bid base + Rental | $186.21 | $186.21 | $186.21 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KURR · Bidding program group 3 + Rental | $338.84 | $338.84 | $338.84 |
Mass General Brigham Setting Professional Modifier KCRR · Wheelchair interface replaced + Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KCRR · Wheelchair interface replaced + Rental | $338.84 | $338.84 | $338.84 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KERR · Bid item, non-bid base + Rental | $186.21 | $186.21 | $186.21 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KURR · Bidding program group 3 + Rental | $338.84 | $338.84 | $338.84 |
Well Sense Setting Facility Modifier KC · Wheelchair interface replaced Typical Low $1,479.11 Median $1,862.09 Typical High $3,388.44 | Facility | KC · Wheelchair interface replaced | $1,479.11 | $1,862.09 | $3,388.44 |
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· 19th of 51
$1,230
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.