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 $269.15 Median $269.15 Typical High $1,230.27 | Facility | None | $269.15 | $269.15 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $1,023.29 | Professional | None | $269.15 | $269.15 | $1,023.29 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $204.17 Typical High $812.83 | Professional | UE · Used equipment | $199.53 | $204.17 | $812.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $58.88 Median $331.13 Typical High $1,318.26 | Facility | None | $58.88 | $331.13 | $1,318.26 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $45.71 Median $46.77 Typical High $158.49 | Facility | RR · Rental | $45.71 | $46.77 | $158.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $467.74 | Professional | None | $229.09 | $426.58 | $467.74 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $22.91 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $22.91 | $50.12 | $50.12 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $316.23 Typical High $331.13 | Professional | UE · Used equipment | $169.82 | $316.23 | $331.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | None | $426.58 | $426.58 | $457.09 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | RR · Rental | $42.66 | $42.66 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $549.54 | Professional | None | $275.42 | $331.13 | $549.54 |
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 $181.97 Median $309.03 Typical High $512.86 | Professional | None | $181.97 | $309.03 | $512.86 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $16.98 Median $30.20 Typical High $58.88 | Professional | RR · Rental | $16.98 | $30.20 | $58.88 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $208.93 Typical High $389.05 | Professional | UE · Used equipment | $134.90 | $208.93 | $389.05 |
Health New England Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Health New England Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | RR · Rental | $31.62 | $31.62 | $31.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $58.88 Median $331.13 Typical High $1,318.26 | Facility | None | $58.88 | $331.13 | $1,318.26 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $45.71 Median $46.77 Typical High $158.49 | Facility | RR · Rental | $45.71 | $46.77 | $158.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $467.74 | Professional | None | $229.09 | $426.58 | $467.74 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $22.91 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $22.91 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $316.23 Typical High $331.13 | Professional | UE · Used equipment | $169.82 | $316.23 | $331.13 |
United Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $512.86 | Professional | None | $181.97 | $309.03 | $512.86 |
United Setting Professional Modifier RR · Rental Typical Low $16.98 Median $30.20 Typical High $51.29 | Professional | RR · Rental | $16.98 | $30.20 | $51.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $208.93 Typical High $371.54 | Professional | UE · Used equipment | $134.90 | $208.93 | $371.54 |
Well Sense Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $588.84 | Facility | None | $537.03 | $537.03 | $588.84 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | KERR · Bid item, non-bid base + Rental | $63.10 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KURR · Bidding program group 3 + Rental | $63.10 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KERR · Bid item, non-bid base + Rental | $63.10 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KURR · Bidding program group 3 + Rental | $63.10 | $63.10 | $63.10 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $316.23 Median $407.38 Typical High $724.44 | Facility | KU · Bidding program group 3 | $316.23 | $407.38 | $724.44 |
Where Massachusetts sits
The same service costs 2.7 times more in Hawaii than in Illinois. 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· 11th of 51
$417
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.