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 $181.97 Median $181.97 Typical High $831.76 | Facility | None | $181.97 | $181.97 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $741.31 | Professional | None | $181.97 | $181.97 | $741.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $588.84 | Professional | UE · Used equipment | $138.04 | $138.04 | $588.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $41.69 Median $371.54 Typical High $851.14 | Facility | None | $41.69 | $371.54 | $851.14 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $38.90 Median $40.74 Typical High $134.90 | Facility | RR · Rental | $38.90 | $40.74 | $134.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $323.59 | Professional | None | $154.88 | $316.23 | $323.59 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $15.49 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $15.49 | $42.66 | $42.66 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $234.42 Typical High $245.47 | Professional | UE · Used equipment | $117.49 | $234.42 | $245.47 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $371.54 | Professional | None | $309.03 | $371.54 | $371.54 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $30.90 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $257.04 | Facility | None | $239.88 | $239.88 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $478.63 | Professional | None | $204.17 | $239.88 | $478.63 |
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 $138.04 Median $213.80 Typical High $407.38 | Professional | None | $138.04 | $213.80 | $407.38 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $13.80 Median $20.89 Typical High $42.66 | Professional | RR · Rental | $13.80 | $20.89 | $42.66 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $154.88 Typical High $316.23 | Professional | UE · Used equipment | $104.71 | $154.88 | $316.23 |
Health New England Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Health New England Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $6.31 | $6.31 | $6.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $41.69 Median $371.54 Typical High $851.14 | Facility | None | $41.69 | $371.54 | $851.14 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $38.90 Median $40.74 Typical High $134.90 | Facility | RR · Rental | $38.90 | $40.74 | $134.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $323.59 | Professional | None | $154.88 | $316.23 | $323.59 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $15.49 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $15.49 | $42.66 | $42.66 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $234.42 Typical High $245.47 | Professional | UE · Used equipment | $117.49 | $234.42 | $245.47 |
United Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $407.38 | Professional | None | $138.04 | $208.93 | $407.38 |
United Setting Professional Modifier RR · Rental Typical Low $13.80 Median $20.89 Typical High $40.74 | Professional | RR · Rental | $13.80 | $20.89 | $40.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $154.88 Typical High $309.03 | Professional | UE · Used equipment | $104.71 | $154.88 | $309.03 |
Well Sense Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $363.08 | Facility | None | $295.12 | $295.12 | $363.08 |
5 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 $45.71 Median $45.71 Typical High $45.71 | Professional | KERR · Bid item, non-bid base + Rental | $45.71 | $45.71 | $45.71 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KURR · Bidding program group 3 + Rental | $42.66 | $42.66 | $42.66 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | KERR · Bid item, non-bid base + Rental | $45.71 | $45.71 | $45.71 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KURR · Bidding program group 3 + Rental | $42.66 | $42.66 | $42.66 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $269.15 Median $354.81 Typical High $630.96 | Facility | KU · Bidding program group 3 | $269.15 | $354.81 | $630.96 |
Where Massachusetts sits
The same service costs 9.3 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· 13th of 51
$309
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.