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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $1,122.02 | Professional | None | $309.03 | $309.03 | $1,122.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | UE · Used equipment | $234.42 | $234.42 | $257.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $67.61 Median $602.56 Typical High $1,412.54 | Facility | None | $67.61 | $602.56 | $1,412.54 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $63.10 Median $67.61 Typical High $229.09 | Facility | RR · Rental | $63.10 | $67.61 | $229.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $234.42 Median $616.60 Typical High $616.60 | Professional | None | $234.42 | $616.60 | $616.60 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $23.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $23.44 | $72.44 | $72.44 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $269.15 Typical High $512.86 | Professional | UE · Used equipment | $173.78 | $269.15 | $512.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | None | $676.08 | $707.95 | $707.95 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $67.61 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $794.33 | Professional | None | $380.19 | $446.68 | $794.33 |
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 $229.09 Median $363.08 Typical High $676.08 | Professional | None | $229.09 | $363.08 | $676.08 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $22.91 Median $35.48 Typical High $72.44 | Professional | RR · Rental | $22.91 | $35.48 | $72.44 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $269.15 Typical High $549.54 | Professional | UE · Used equipment | $173.78 | $269.15 | $549.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $67.61 Median $602.56 Typical High $1,412.54 | Facility | None | $67.61 | $602.56 | $1,412.54 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $63.10 Median $67.61 Typical High $229.09 | Facility | RR · Rental | $63.10 | $67.61 | $229.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $234.42 Median $616.60 Typical High $616.60 | Professional | None | $234.42 | $616.60 | $616.60 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $23.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $23.44 | $72.44 | $72.44 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $269.15 Typical High $512.86 | Professional | UE · Used equipment | $173.78 | $269.15 | $512.86 |
United Setting Professional Modifier None Typical Low $229.09 Median $354.81 Typical High $676.08 | Professional | None | $229.09 | $354.81 | $676.08 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $35.48 Typical High $67.61 | Professional | RR · Rental | $22.91 | $35.48 | $67.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $269.15 Typical High $512.86 | Professional | UE · Used equipment | $173.78 | $269.15 | $512.86 |
Well Sense Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
3 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 KURR · Bidding program group 3 + Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | KURR · Bidding program group 3 + Rental | $72.44 | $72.44 | $72.44 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | KURR · Bidding program group 3 + Rental | $72.44 | $72.44 | $72.44 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $457.09 Median $588.84 Typical High $1,047.13 | Facility | KU · Bidding program group 3 | $457.09 | $588.84 | $1,047.13 |
Where Massachusetts sits
The same service costs 11.5 times more in Kansas than in Mississippi. 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· 9th of 51
$603
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.