How much rates vary
Facilitymedian $33 · 10th to 90th $28 to $100Professionalmedian $24 · 10th to 90th $12 to $33
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 $14.45 Median $14.45 Typical High $66.07 | Facility | None | $14.45 | $14.45 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $46.77 | Professional | None | $10.96 | $14.45 | $46.77 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $10.72 Typical High $34.67 | Professional | UE · Used equipment | $10.47 | $10.72 | $34.67 |
AllWays Health Partners Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $102.33 | Facility | None | $30.20 | $31.62 | $102.33 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $3.02 Median $3.16 Typical High $10.47 | Facility | RR · Rental | $3.02 | $3.16 | $10.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.30 Median $33.11 Typical High $33.11 | Professional | None | $12.30 | $33.11 | $33.11 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $1.23 Median $3.31 Typical High $3.31 | Professional | RR · Rental | $1.23 | $3.31 | $3.31 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $25.12 Typical High $25.12 | Professional | UE · Used equipment | $9.12 | $25.12 | $25.12 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $83.18 | Facility | None | $27.54 | $27.54 | $83.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | None | $23.99 | $28.18 | $28.18 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.82 Typical High $2.82 | Professional | RR · Rental | $2.40 | $2.82 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $37.15 | Professional | None | $17.78 | $21.38 | $37.15 |
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 $10.72 Median $17.78 Typical High $31.62 | Professional | None | $10.72 | $17.78 | $31.62 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.62 Typical High $3.39 | Professional | RR · Rental | $1.07 | $1.62 | $3.39 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $12.02 Typical High $25.12 | Professional | UE · Used equipment | $7.94 | $12.02 | $25.12 |
Health New England Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Health New England Setting Professional Modifier RR · Rental Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | RR · Rental | $1.70 | $1.70 | $1.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $102.33 | Facility | None | $30.20 | $31.62 | $102.33 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $3.02 Median $3.16 Typical High $10.47 | Facility | RR · Rental | $3.02 | $3.16 | $10.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.30 Median $33.11 Typical High $33.11 | Professional | None | $12.30 | $33.11 | $33.11 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $1.23 Median $3.31 Typical High $3.31 | Professional | RR · Rental | $1.23 | $3.31 | $3.31 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $25.12 Typical High $25.12 | Professional | UE · Used equipment | $9.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $31.62 | Professional | None | $10.72 | $16.22 | $31.62 |
United Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.62 Typical High $3.16 | Professional | RR · Rental | $1.07 | $1.62 | $3.16 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $12.02 Typical High $23.44 | Professional | UE · Used equipment | $7.94 | $12.02 | $23.44 |
Well Sense Setting Facility Modifier None Typical Low $31.62 Median $43.65 Typical High $72.44 | Facility | None | $31.62 | $43.65 | $72.44 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $3.16 Median $3.89 Typical High $7.24 | Facility | RR · Rental | $3.16 | $3.89 | $7.24 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $23.44 Median $30.90 Typical High $53.70 | Facility | UE · Used equipment | $23.44 | $30.90 | $53.70 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | KENU · Bid item, non-bid base + New equipment | $35.48 | $35.48 | $35.48 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | KERR · Bid item, non-bid base + Rental | $3.63 | $3.63 | $3.63 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | KEUE · Bid item, non-bid base + Used equipment | $26.92 | $26.92 | $26.92 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KUNU · Bidding program group 3 + New equipment | $33.88 | $33.88 | $33.88 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | KURR · Bidding program group 3 + Rental | $3.39 | $3.39 | $3.39 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | KUUE · Bidding program group 3 + Used equipment | $25.12 | $25.12 | $25.12 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | KENU · Bid item, non-bid base + New equipment | $35.48 | $35.48 | $35.48 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | KERR · Bid item, non-bid base + Rental | $3.63 | $3.63 | $3.63 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | KEUE · Bid item, non-bid base + Used equipment | $26.92 | $26.92 | $26.92 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KUNU · Bidding program group 3 + New equipment | $33.88 | $33.88 | $33.88 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | KURR · Bidding program group 3 + Rental | $3.39 | $3.39 | $3.39 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | KUUE · Bidding program group 3 + Used equipment | $25.12 | $25.12 | $25.12 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $31.62 Median $39.81 Typical High $72.44 | Facility | KU · Bidding program group 3 | $31.62 | $39.81 | $72.44 |
Where Massachusetts sits
The same service costs 2.3 times more in Hawaii than in New Mexico. 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
$28.18
HI $35.48NM $15.14
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.