How much rates vary
Facilitymedian $72 · 10th to 90th $56 to $204Professionalmedian $56 · 10th to 90th $30 to $69
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 $33.88 Median $33.88 Typical High $154.88 | Facility | None | $33.88 | $33.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $245.47 | Professional | None | $26.92 | $33.88 | $245.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $25.12 Typical High $87.10 | Professional | UE · Used equipment | $24.55 | $25.12 | $87.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $213.80 | Facility | None | $60.26 | $66.07 | $213.80 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $6.03 Median $6.61 Typical High $21.88 | Facility | RR · Rental | $6.03 | $6.61 | $21.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $29.51 Median $69.18 Typical High $69.18 | Professional | None | $29.51 | $69.18 | $69.18 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $3.16 Median $6.92 Typical High $6.92 | Professional | RR · Rental | $3.16 | $6.92 | $6.92 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $52.48 Typical High $52.48 | Professional | UE · Used equipment | $22.39 | $52.48 | $52.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $194.98 | Facility | None | $64.57 | $64.57 | $194.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | None | $56.23 | $60.26 | $60.26 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.31 | Professional | RR · Rental | $6.03 | $6.03 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $70.79 | Professional | None | $36.31 | $42.66 | $70.79 |
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 $22.91 Median $39.81 Typical High $66.07 | Professional | None | $22.91 | $39.81 | $66.07 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.80 Typical High $7.94 | Professional | RR · Rental | $2.34 | $3.80 | $7.94 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $26.92 Typical High $57.54 | Professional | UE · Used equipment | $17.38 | $26.92 | $57.54 |
Health New England Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Health New England Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $213.80 | Facility | None | $60.26 | $66.07 | $213.80 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $6.03 Median $6.61 Typical High $21.88 | Facility | RR · Rental | $6.03 | $6.61 | $21.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $29.51 Median $69.18 Typical High $69.18 | Professional | None | $29.51 | $69.18 | $69.18 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $3.16 Median $6.92 Typical High $6.92 | Professional | RR · Rental | $3.16 | $6.92 | $6.92 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $52.48 Typical High $52.48 | Professional | UE · Used equipment | $22.39 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $22.91 Median $39.81 Typical High $66.07 | Professional | None | $22.91 | $39.81 | $66.07 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.80 Typical High $7.08 | Professional | RR · Rental | $2.34 | $3.80 | $7.08 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $26.92 Typical High $48.98 | Professional | UE · Used equipment | $17.38 | $26.92 | $48.98 |
Well Sense Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $154.88 | Facility | None | $66.07 | $83.18 | $154.88 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $6.61 Median $8.32 Typical High $15.49 | Facility | RR · Rental | $6.61 | $8.32 | $15.49 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $48.98 Median $61.66 Typical High $114.82 | Facility | UE · Used equipment | $48.98 | $61.66 | $114.82 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | KENU · Bid item, non-bid base + New equipment | $79.43 | $79.43 | $79.43 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | KERR · Bid item, non-bid base + Rental | $8.51 | $8.51 | $8.51 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | KEUE · Bid item, non-bid base + Used equipment | $60.26 | $60.26 | $60.26 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | KUNU · Bidding program group 3 + New equipment | $79.43 | $79.43 | $79.43 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | KURR · Bidding program group 3 + Rental | $8.71 | $8.71 | $8.71 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | KUUE · Bidding program group 3 + Used equipment | $58.88 | $58.88 | $58.88 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | KENU · Bid item, non-bid base + New equipment | $79.43 | $79.43 | $79.43 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | KERR · Bid item, non-bid base + Rental | $8.51 | $8.51 | $8.51 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | KEUE · Bid item, non-bid base + Used equipment | $60.26 | $60.26 | $60.26 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | KUNU · Bidding program group 3 + New equipment | $79.43 | $79.43 | $79.43 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | KURR · Bidding program group 3 + Rental | $8.71 | $8.71 | $8.71 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | KUUE · Bidding program group 3 + Used equipment | $58.88 | $58.88 | $58.88 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $75.86 Median $95.50 Typical High $173.78 | Facility | KU · Bidding program group 3 | $75.86 | $95.50 | $173.78 |
Where Massachusetts sits
The same service costs 5.0 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· 8th of 51
$60.26
HI $162IL $32.36
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.