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 $426.58 Median $426.58 Typical High $1,949.84 | Facility | None | $426.58 | $426.58 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $1,288.25 | Professional | None | $316.23 | $426.58 | $1,288.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $316.23 Typical High $977.24 | Professional | UE · Used equipment | $251.19 | $316.23 | $977.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $575.44 Typical High $1,995.26 | Facility | None | $91.20 | $575.44 | $1,995.26 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $60.26 Median $61.66 Typical High $204.17 | Facility | RR · Rental | $60.26 | $61.66 | $204.17 |
AllWays Health Partners Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $724.44 | Professional | None | $338.84 | $660.69 | $724.44 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $34.67 Median $64.57 Typical High $69.18 | Professional | RR · Rental | $34.67 | $64.57 | $69.18 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $489.78 Typical High $537.03 | Professional | UE · Used equipment | $234.42 | $489.78 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $107.15 | Facility | None | $69.18 | $81.28 | $107.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $707.95 | Professional | None | $575.44 | $575.44 | $707.95 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | RR · Rental | $57.54 | $57.54 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $724.44 | Professional | None | $389.05 | $457.09 | $724.44 |
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 $234.42 Median $467.74 Typical High $794.33 | Professional | None | $234.42 | $467.74 | $794.33 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $23.44 Median $43.65 Typical High $85.11 | Professional | RR · Rental | $23.44 | $43.65 | $85.11 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $275.42 Typical High $602.56 | Professional | UE · Used equipment | $173.78 | $275.42 | $602.56 |
Health New England Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Health New England Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $48.98 | $48.98 | $48.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $575.44 Typical High $1,995.26 | Facility | None | $91.20 | $575.44 | $1,995.26 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $60.26 Median $61.66 Typical High $204.17 | Facility | RR · Rental | $60.26 | $61.66 | $204.17 |
Mass General Brigham Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $724.44 | Professional | None | $338.84 | $660.69 | $724.44 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $34.67 Median $64.57 Typical High $69.18 | Professional | RR · Rental | $34.67 | $64.57 | $69.18 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $489.78 Typical High $537.03 | Professional | UE · Used equipment | $234.42 | $489.78 | $537.03 |
United Setting Professional Modifier None Typical Low $234.42 Median $467.74 Typical High $794.33 | Professional | None | $234.42 | $467.74 | $794.33 |
United Setting Professional Modifier RR · Rental Typical Low $23.44 Median $43.65 Typical High $79.43 | Professional | RR · Rental | $23.44 | $43.65 | $79.43 |
United Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $275.42 Typical High $575.44 | Professional | UE · Used equipment | $173.78 | $275.42 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | KERR · Bid item, non-bid base + Rental | $91.20 | $91.20 | $91.20 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | KURR · Bidding program group 3 + Rental | $97.72 | $97.72 | $97.72 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | KERR · Bid item, non-bid base + Rental | $91.20 | $91.20 | $91.20 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | KURR · Bidding program group 3 + Rental | $97.72 | $97.72 | $97.72 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $407.38 Median $537.03 Typical High $954.99 | Facility | KU · Bidding program group 3 | $407.38 | $537.03 | $954.99 |
Where Massachusetts sits
The same service costs 2.9 times more in Hawaii than in Montana. 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· 12th of 51
$575
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.