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 $234.42 Median $234.42 Typical High $1,071.52 | Facility | None | $234.42 | $234.42 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $1,047.13 | Professional | None | $234.42 | $234.42 | $1,047.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $549.54 | Professional | UE · Used equipment | $177.83 | $177.83 | $549.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $331.13 Typical High $1,148.15 | Facility | None | $51.29 | $331.13 | $1,148.15 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $42.66 Median $46.77 Typical High $154.88 | Facility | RR · Rental | $42.66 | $46.77 | $154.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $416.87 | Professional | None | $199.53 | $380.19 | $416.87 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $19.95 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $19.95 | $50.12 | $50.12 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $281.84 Typical High $309.03 | Professional | UE · Used equipment | $151.36 | $281.84 | $309.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | None | $398.11 | $426.58 | $426.58 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $39.81 | $42.66 | $42.66 |
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 $281.84 Median $331.13 Typical High $524.81 | Professional | None | $281.84 | $331.13 | $524.81 |
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 $281.84 Typical High $446.68 | Professional | None | $181.97 | $281.84 | $446.68 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $16.22 Median $26.30 Typical High $53.70 | Professional | RR · Rental | $16.22 | $26.30 | $53.70 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $204.17 Typical High $338.84 | Professional | UE · Used equipment | $134.90 | $204.17 | $338.84 |
Health New England Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Health New England Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $331.13 Typical High $1,148.15 | Facility | None | $51.29 | $331.13 | $1,148.15 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $42.66 Median $46.77 Typical High $154.88 | Facility | RR · Rental | $42.66 | $46.77 | $154.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $416.87 | Professional | None | $199.53 | $380.19 | $416.87 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $19.95 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $19.95 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $281.84 Typical High $309.03 | Professional | UE · Used equipment | $151.36 | $281.84 | $309.03 |
United Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $446.68 | Professional | None | $181.97 | $269.15 | $446.68 |
United Setting Professional Modifier RR · Rental Typical Low $16.22 Median $26.30 Typical High $46.77 | Professional | RR · Rental | $16.22 | $26.30 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $204.17 Typical High $323.59 | Professional | UE · Used equipment | $134.90 | $204.17 | $323.59 |
Well Sense Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | KERR · Bid item, non-bid base + Rental | $57.54 | $57.54 | $57.54 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KURR · Bidding program group 3 + Rental | $54.95 | $54.95 | $54.95 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KERR · Bid item, non-bid base + Rental | $57.54 | $57.54 | $57.54 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KURR · Bidding program group 3 + Rental | $54.95 | $54.95 | $54.95 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $309.03 Median $407.38 Typical High $724.44 | Facility | KU · Bidding program group 3 | $309.03 | $407.38 | $724.44 |
Where Massachusetts sits
The same service costs 2.4 times more in Hawaii than in Utah. 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· 14th of 51
$380
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.