How much rates vary
Facilitymedian $54 · 10th to 90th $43 to $145Professionalmedian $44 · 10th to 90th $25 to $50
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 $28.84 Median $28.84 Typical High $131.83 | Facility | None | $28.84 | $28.84 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $112.20 | Professional | None | $21.88 | $28.84 | $112.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $21.38 Typical High $63.10 | Professional | UE · Used equipment | $19.95 | $21.38 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $45.71 Median $48.98 Typical High $147.91 | Facility | None | $45.71 | $48.98 | $147.91 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $4.57 Median $4.90 Typical High $15.49 | Facility | RR · Rental | $4.57 | $4.90 | $15.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $24.55 Median $48.98 Typical High $48.98 | Professional | None | $24.55 | $48.98 | $48.98 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.45 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $2.45 | $4.90 | $4.90 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $36.31 Typical High $37.15 | Professional | UE · Used equipment | $18.20 | $36.31 | $37.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None | $41.69 | $41.69 | $47.86 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.17 Typical High $4.79 | Professional | RR · Rental | $4.17 | $4.17 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $63.10 | Professional | None | $29.51 | $34.67 | $63.10 |
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 $16.98 Median $35.48 Typical High $54.95 | Professional | None | $16.98 | $35.48 | $54.95 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.70 Median $3.16 Typical High $6.31 | Professional | RR · Rental | $1.70 | $3.16 | $6.31 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $23.99 Typical High $46.77 | Professional | UE · Used equipment | $12.88 | $23.99 | $46.77 |
Health New England Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Health New England Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | RR · Rental | $3.39 | $3.39 | $3.39 |
Mass General Brigham Setting Facility Modifier None Typical Low $45.71 Median $48.98 Typical High $147.91 | Facility | None | $45.71 | $48.98 | $147.91 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $4.57 Median $4.90 Typical High $15.49 | Facility | RR · Rental | $4.57 | $4.90 | $15.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $24.55 Median $48.98 Typical High $48.98 | Professional | None | $24.55 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.45 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $2.45 | $4.90 | $4.90 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $36.31 Typical High $37.15 | Professional | UE · Used equipment | $18.20 | $36.31 | $37.15 |
United Setting Professional Modifier None Typical Low $16.98 Median $35.48 Typical High $54.95 | Professional | None | $16.98 | $35.48 | $54.95 |
United Setting Professional Modifier RR · Rental Typical Low $1.70 Median $3.16 Typical High $5.50 | Professional | RR · Rental | $1.70 | $3.16 | $5.50 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $23.99 Typical High $40.74 | Professional | UE · Used equipment | $12.88 | $23.99 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $107.15 | Facility | None | $45.71 | $60.26 | $107.15 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $4.57 Median $5.75 Typical High $10.72 | Facility | RR · Rental | $4.57 | $5.75 | $10.72 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $34.67 Median $45.71 Typical High $77.62 | Facility | UE · Used equipment | $34.67 | $45.71 | $77.62 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | KENU · Bid item, non-bid base + New equipment | $67.61 | $67.61 | $67.61 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KERR · Bid item, non-bid base + Rental | $6.76 | $6.76 | $6.76 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KEUE · Bid item, non-bid base + Used equipment | $50.12 | $50.12 | $50.12 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KUNU · Bidding program group 3 + New equipment | $67.61 | $67.61 | $67.61 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KURR · Bidding program group 3 + Rental | $6.76 | $6.76 | $6.76 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KUUE · Bidding program group 3 + Used equipment | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KENU · Bid item, non-bid base + New equipment | $67.61 | $67.61 | $67.61 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KERR · Bid item, non-bid base + Rental | $6.76 | $6.76 | $6.76 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KEUE · Bid item, non-bid base + Used equipment | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KUNU · Bidding program group 3 + New equipment | $67.61 | $67.61 | $67.61 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KURR · Bidding program group 3 + Rental | $6.76 | $6.76 | $6.76 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KUUE · Bidding program group 3 + Used equipment | $50.12 | $50.12 | $50.12 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $64.57 Median $83.18 Typical High $147.91 | Facility | KU · Bidding program group 3 | $64.57 | $83.18 | $147.91 |
Where Massachusetts sits
The same service costs 2.8 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· 13th of 51
$45.71
HI $70.79NM $25.70
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.