How much rates vary
Facilitymedian $174 · 10th to 90th $112 to $525Professionalmedian $132 · 10th to 90th $68 to $178
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 $79.43 Median $79.43 Typical High $363.08 | Facility | None | $79.43 | $79.43 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $363.08 | Professional | None | $79.43 | $79.43 | $363.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $269.15 | Professional | UE · Used equipment | $58.88 | $58.88 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $537.03 | Facility | None | $154.88 | $165.96 | $537.03 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $15.49 Median $16.60 Typical High $56.23 | Facility | RR · Rental | $15.49 | $16.60 | $56.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $177.83 | Professional | None | $67.61 | $177.83 | $177.83 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $6.76 Median $17.78 Typical High $17.78 | Professional | RR · Rental | $6.76 | $17.78 | $17.78 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $131.83 Typical High $131.83 | Professional | UE · Used equipment | $50.12 | $131.83 | $131.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $151.36 | Professional | None | $131.83 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $194.98 | Professional | None | $95.50 | $112.20 | $194.98 |
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 $57.54 Median $97.72 Typical High $165.96 | Professional | None | $57.54 | $97.72 | $165.96 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $5.75 Median $8.91 Typical High $18.62 | Professional | RR · Rental | $5.75 | $8.91 | $18.62 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $67.61 Typical High $138.04 | Professional | UE · Used equipment | $42.66 | $67.61 | $138.04 |
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 $154.88 Median $165.96 Typical High $537.03 | Facility | None | $154.88 | $165.96 | $537.03 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $15.49 Median $16.60 Typical High $56.23 | Facility | RR · Rental | $15.49 | $16.60 | $56.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $177.83 | Professional | None | $67.61 | $177.83 | $177.83 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $6.76 Median $17.78 Typical High $17.78 | Professional | RR · Rental | $6.76 | $17.78 | $17.78 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $131.83 Typical High $131.83 | Professional | UE · Used equipment | $50.12 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $165.96 | Professional | None | $57.54 | $89.13 | $165.96 |
United Setting Professional Modifier RR · Rental Typical Low $5.75 Median $8.91 Typical High $16.60 | Professional | RR · Rental | $5.75 | $8.91 | $16.60 |
United Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $67.61 Typical High $125.89 | Professional | UE · Used equipment | $42.66 | $67.61 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $389.05 | Facility | None | $165.96 | $218.78 | $389.05 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $16.60 Median $20.89 Typical High $38.90 | Facility | RR · Rental | $16.60 | $20.89 | $38.90 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $125.89 Median $162.18 Typical High $281.84 | Facility | UE · Used equipment | $125.89 | $162.18 | $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 $199.53 Median $199.53 Typical High $199.53 | Professional | KENU · Bid item, non-bid base + New equipment | $199.53 | $199.53 | $199.53 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | KERR · Bid item, non-bid base + Rental | $19.95 | $19.95 | $19.95 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | KEUE · Bid item, non-bid base + Used equipment | $151.36 | $151.36 | $151.36 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KUNU · Bidding program group 3 + New equipment | $186.21 | $186.21 | $186.21 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | KURR · Bidding program group 3 + Rental | $18.62 | $18.62 | $18.62 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | KUUE · Bidding program group 3 + Used equipment | $138.04 | $138.04 | $138.04 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | KENU · Bid item, non-bid base + New equipment | $199.53 | $199.53 | $199.53 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | KERR · Bid item, non-bid base + Rental | $19.95 | $19.95 | $19.95 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | KEUE · Bid item, non-bid base + Used equipment | $151.36 | $151.36 | $151.36 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KUNU · Bidding program group 3 + New equipment | $186.21 | $186.21 | $186.21 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | KURR · Bidding program group 3 + Rental | $18.62 | $18.62 | $18.62 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | KUUE · Bidding program group 3 + Used equipment | $138.04 | $138.04 | $138.04 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $177.83 Median $223.87 Typical High $416.87 | Facility | KU · Bidding program group 3 | $177.83 | $223.87 | $416.87 |
Where Massachusetts sits
The same service costs 1.9 times more in Wisconsin 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· 10th of 51
$151
WI $178UT $95.50
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.