How much rates vary
Facilitymedian $186 · 10th to 90th $132 to $537Professionalmedian $155 · 10th to 90th $102 to $234
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 $138.04 Median $138.04 Typical High $630.96 | Facility | None | $138.04 | $138.04 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $389.05 | Professional | None | $104.71 | $138.04 | $389.05 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $104.71 Typical High $288.40 | Professional | UE · Used equipment | $77.62 | $104.71 | $288.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $173.78 Typical High $537.03 | Facility | None | $162.18 | $173.78 | $537.03 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $16.22 Median $17.78 Typical High $54.95 | Facility | RR · Rental | $16.22 | $17.78 | $54.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $208.93 | Professional | None | $102.33 | $173.78 | $208.93 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $10.23 Median $17.38 Typical High $21.38 | Professional | RR · Rental | $10.23 | $17.38 | $21.38 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $128.82 Typical High $158.49 | Professional | UE · Used equipment | $75.86 | $128.82 | $158.49 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | None | $147.91 | $147.91 | $234.42 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $23.44 | Professional | RR · Rental | $14.79 | $14.79 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $131.83 | Facility | None | $123.03 | $123.03 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $218.78 | Professional | None | $104.71 | $123.03 | $218.78 |
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 $67.61 Median $147.91 Typical High $257.04 | Professional | None | $67.61 | $147.91 | $257.04 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $6.76 Median $12.88 Typical High $25.70 | Professional | RR · Rental | $6.76 | $12.88 | $25.70 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $97.72 Typical High $194.98 | Professional | UE · Used equipment | $51.29 | $97.72 | $194.98 |
Health New England Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Health New England Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $9.33 | $9.33 | $9.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $173.78 Typical High $537.03 | Facility | None | $162.18 | $173.78 | $537.03 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $16.22 Median $17.78 Typical High $54.95 | Facility | RR · Rental | $16.22 | $17.78 | $54.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $208.93 | Professional | None | $102.33 | $173.78 | $208.93 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $10.23 Median $17.38 Typical High $21.38 | Professional | RR · Rental | $10.23 | $17.38 | $21.38 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $128.82 Typical High $158.49 | Professional | UE · Used equipment | $75.86 | $128.82 | $158.49 |
United Setting Professional Modifier None Typical Low $67.61 Median $147.91 Typical High $257.04 | Professional | None | $67.61 | $147.91 | $257.04 |
United Setting Professional Modifier RR · Rental Typical Low $6.76 Median $12.88 Typical High $25.70 | Professional | RR · Rental | $6.76 | $12.88 | $25.70 |
United Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $97.72 Typical High $194.98 | Professional | UE · Used equipment | $51.29 | $97.72 | $194.98 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $380.19 | Facility | None | $162.18 | $213.80 | $380.19 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $16.22 Median $20.89 Typical High $38.02 | Facility | RR · Rental | $16.22 | $20.89 | $38.02 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $123.03 Median $165.96 Typical High $281.84 | Facility | UE · Used equipment | $123.03 | $165.96 | $281.84 |
13 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 KENU · Bid item, non-bid base + New equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | KENU · Bid item, non-bid base + New equipment | $288.40 | $288.40 | $288.40 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | KERR · Bid item, non-bid base + Rental | $28.84 | $28.84 | $28.84 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | KEUE · Bid item, non-bid base + Used equipment | $218.78 | $218.78 | $218.78 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | KUNU · Bidding program group 3 + New equipment | $323.59 | $323.59 | $323.59 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | KURR · Bidding program group 3 + Rental | $32.36 | $32.36 | $32.36 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KUUE · Bidding program group 3 + Used equipment | $245.47 | $245.47 | $245.47 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | KENU · Bid item, non-bid base + New equipment | $288.40 | $288.40 | $288.40 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | KERR · Bid item, non-bid base + Rental | $28.84 | $28.84 | $28.84 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | KEUE · Bid item, non-bid base + Used equipment | $218.78 | $218.78 | $218.78 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | KUNU · Bidding program group 3 + New equipment | $323.59 | $323.59 | $323.59 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | KURR · Bidding program group 3 + Rental | $32.36 | $32.36 | $32.36 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KUUE · Bidding program group 3 + Used equipment | $245.47 | $245.47 | $245.47 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $309.03 Median $389.05 Typical High $724.44 | Facility | KU · Bidding program group 3 | $309.03 | $389.05 | $724.44 |
Where Massachusetts sits
The same service costs 3.1 times more in Kansas than in New Mexico. 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
$174
KS $324NM $105
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.