How much rates vary
Facilitymedian $51 · 10th to 90th $43 to $151Professionalmedian $38 · 10th to 90th $19 to $51
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 $22.39 Median $22.39 Typical High $102.33 | Facility | None | $22.39 | $22.39 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $204.17 | Professional | None | $21.88 | $22.39 | $204.17 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.98 Typical High $77.62 | Professional | UE · Used equipment | $16.22 | $16.98 | $77.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $46.77 Median $48.98 Typical High $158.49 | Facility | None | $46.77 | $48.98 | $158.49 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $4.68 Median $4.90 Typical High $16.22 | Facility | RR · Rental | $4.68 | $4.90 | $16.22 |
AllWays Health Partners Setting Professional Modifier None Typical Low $19.05 Median $51.29 Typical High $51.29 | Professional | None | $19.05 | $51.29 | $51.29 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $1.91 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $1.91 | $5.13 | $5.13 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $14.45 | $38.90 | $38.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $128.82 | Facility | None | $42.66 | $42.66 | $128.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $38.02 Median $43.65 Typical High $43.65 | Professional | None | $38.02 | $43.65 | $43.65 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $3.80 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $60.26 | Professional | None | $28.18 | $33.11 | $60.26 |
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 $16.60 Median $27.54 Typical High $48.98 | Professional | None | $16.60 | $27.54 | $48.98 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.66 Median $2.51 Typical High $5.25 | Professional | RR · Rental | $1.66 | $2.51 | $5.25 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $18.62 Typical High $38.90 | Professional | UE · Used equipment | $12.30 | $18.62 | $38.90 |
Health New England Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Health New England Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $46.77 Median $48.98 Typical High $158.49 | Facility | None | $46.77 | $48.98 | $158.49 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $4.68 Median $4.90 Typical High $16.22 | Facility | RR · Rental | $4.68 | $4.90 | $16.22 |
Mass General Brigham Setting Professional Modifier None Typical Low $19.05 Median $51.29 Typical High $51.29 | Professional | None | $19.05 | $51.29 | $51.29 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $1.91 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $1.91 | $5.13 | $5.13 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $14.45 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $48.98 | Professional | None | $16.60 | $25.12 | $48.98 |
United Setting Professional Modifier RR · Rental Typical Low $1.66 Median $2.51 Typical High $4.90 | Professional | RR · Rental | $1.66 | $2.51 | $4.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $18.62 Typical High $36.31 | Professional | UE · Used equipment | $12.30 | $18.62 | $36.31 |
Well Sense Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $112.20 | Facility | None | $48.98 | $63.10 | $112.20 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $4.90 Median $6.03 Typical High $11.22 | Facility | RR · Rental | $4.90 | $6.03 | $11.22 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $36.31 Median $47.86 Typical High $83.18 | Facility | UE · Used equipment | $36.31 | $47.86 | $83.18 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | KENU · Bid item, non-bid base + New equipment | $56.23 | $56.23 | $56.23 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | KERR · Bid item, non-bid base + Rental | $5.62 | $5.62 | $5.62 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | KEUE · Bid item, non-bid base + Used equipment | $41.69 | $41.69 | $41.69 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KUNU · Bidding program group 3 + New equipment | $52.48 | $52.48 | $52.48 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | KURR · Bidding program group 3 + Rental | $5.25 | $5.25 | $5.25 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | KUUE · Bidding program group 3 + Used equipment | $39.81 | $39.81 | $39.81 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | KENU · Bid item, non-bid base + New equipment | $56.23 | $56.23 | $56.23 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | KERR · Bid item, non-bid base + Rental | $5.62 | $5.62 | $5.62 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | KEUE · Bid item, non-bid base + Used equipment | $41.69 | $41.69 | $41.69 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KUNU · Bidding program group 3 + New equipment | $52.48 | $52.48 | $52.48 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | KURR · Bidding program group 3 + Rental | $5.25 | $5.25 | $5.25 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | KUUE · Bidding program group 3 + Used equipment | $39.81 | $39.81 | $39.81 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $50.12 Median $64.57 Typical High $117.49 | Facility | KU · Bidding program group 3 | $50.12 | $64.57 | $117.49 |
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· 11th of 51
$43.65
HI $54.95NM $23.44
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.