How much rates vary
Facilitymedian $59 · 10th to 90th $50 to $174Professionalmedian $45 · 10th to 90th $22 to $59
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 $26.30 Median $26.30 Typical High $120.23 | Facility | None | $26.30 | $26.30 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $120.23 | Professional | None | $26.30 | $26.30 | $120.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $72.44 | Professional | UE · Used equipment | $19.95 | $19.95 | $72.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $181.97 | Facility | None | $53.70 | $56.23 | $181.97 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.37 Median $5.62 Typical High $18.62 | Facility | RR · Rental | $5.37 | $5.62 | $18.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $22.39 Median $58.88 Typical High $58.88 | Professional | None | $22.39 | $58.88 | $58.88 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.24 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $2.24 | $5.89 | $5.89 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $16.98 | $44.67 | $44.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $151.36 | Facility | None | $50.12 | $50.12 | $151.36 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $51.29 | Professional | None | $44.67 | $51.29 | $51.29 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $4.47 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $67.61 | Professional | None | $32.36 | $38.02 | $67.61 |
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 $19.05 Median $33.11 Typical High $56.23 | Professional | None | $19.05 | $33.11 | $56.23 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.91 Median $2.95 Typical High $6.03 | Professional | RR · Rental | $1.91 | $2.95 | $6.03 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $21.88 Typical High $45.71 | Professional | UE · Used equipment | $14.45 | $21.88 | $45.71 |
Health New England Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Health New England Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $181.97 | Facility | None | $53.70 | $56.23 | $181.97 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.37 Median $5.62 Typical High $18.62 | Facility | RR · Rental | $5.37 | $5.62 | $18.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $22.39 Median $58.88 Typical High $58.88 | Professional | None | $22.39 | $58.88 | $58.88 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.24 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $2.24 | $5.89 | $5.89 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $16.98 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $56.23 | Professional | None | $19.05 | $30.20 | $56.23 |
United Setting Professional Modifier RR · Rental Typical Low $1.91 Median $2.95 Typical High $5.62 | Professional | RR · Rental | $1.91 | $2.95 | $5.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $21.88 Typical High $42.66 | Professional | UE · Used equipment | $14.45 | $21.88 | $42.66 |
Well Sense Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $131.83 | Facility | None | $56.23 | $72.44 | $131.83 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $5.62 Median $7.08 Typical High $13.18 | Facility | RR · Rental | $5.62 | $7.08 | $13.18 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $42.66 Median $54.95 Typical High $95.50 | Facility | UE · Used equipment | $42.66 | $54.95 | $95.50 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | KENU · Bid item, non-bid base + New equipment | $64.57 | $64.57 | $64.57 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | KERR · Bid item, non-bid base + Rental | $6.46 | $6.46 | $6.46 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | KEUE · Bid item, non-bid base + Used equipment | $48.98 | $48.98 | $48.98 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KUNU · Bidding program group 3 + New equipment | $61.66 | $61.66 | $61.66 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | KURR · Bidding program group 3 + Rental | $6.17 | $6.17 | $6.17 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | KUUE · Bidding program group 3 + Used equipment | $46.77 | $46.77 | $46.77 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KENU · Bid item, non-bid base + New equipment | $64.57 | $64.57 | $64.57 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | KERR · Bid item, non-bid base + Rental | $6.46 | $6.46 | $6.46 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | KEUE · Bid item, non-bid base + Used equipment | $48.98 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KUNU · Bidding program group 3 + New equipment | $61.66 | $61.66 | $61.66 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | KURR · Bidding program group 3 + Rental | $6.17 | $6.17 | $6.17 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | KUUE · Bidding program group 3 + Used equipment | $46.77 | $46.77 | $46.77 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $58.88 Median $74.13 Typical High $138.04 | Facility | KU · Bidding program group 3 | $58.88 | $74.13 | $138.04 |
Where Massachusetts sits
The same service costs 2.2 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· 10th of 51
$51.29
HI $63.10IL $28.84
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.