How much rates vary
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | UE · Used equipment | $64.57 | $64.57 | $74.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $512.86 | Facility | None | $147.91 | $154.88 | $512.86 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $14.79 Median $15.49 Typical High $51.29 | Facility | RR · Rental | $14.79 | $15.49 | $51.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $66.07 Median $162.18 Typical High $162.18 | Professional | None | $66.07 | $162.18 | $162.18 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $6.61 Median $16.22 Typical High $16.22 | Professional | RR · Rental | $6.61 | $16.22 | $16.22 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $50.12 | $123.03 | $123.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $186.21 | Professional | None | $83.18 | $97.72 | $186.21 |
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 $63.10 Median $93.33 Typical High $154.88 | Professional | None | $63.10 | $93.33 | $154.88 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $6.31 Median $9.33 Typical High $16.22 | Professional | RR · Rental | $6.31 | $9.33 | $16.22 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $70.79 Typical High $123.03 | Professional | UE · Used equipment | $46.77 | $70.79 | $123.03 |
Health New England Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $512.86 | Facility | None | $147.91 | $154.88 | $512.86 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $14.79 Median $15.49 Typical High $51.29 | Facility | RR · Rental | $14.79 | $15.49 | $51.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $66.07 Median $162.18 Typical High $162.18 | Professional | None | $66.07 | $162.18 | $162.18 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $6.61 Median $16.22 Typical High $16.22 | Professional | RR · Rental | $6.61 | $16.22 | $16.22 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $50.12 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $154.88 | Professional | None | $63.10 | $93.33 | $154.88 |
United Setting Professional Modifier RR · Rental Typical Low $6.31 Median $9.33 Typical High $15.49 | Professional | RR · Rental | $6.31 | $9.33 | $15.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $70.79 Typical High $117.49 | Professional | UE · Used equipment | $46.77 | $70.79 | $117.49 |
Well Sense Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
5 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 KURR · Bidding program group 3 + Rental Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | KURR · Bidding program group 3 + Rental | $15.49 | $16.22 | $16.22 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $117.49 Median $123.03 Typical High $123.03 | Professional | KUUE · Bidding program group 3 + Used equipment | $117.49 | $123.03 | $123.03 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | KURR · Bidding program group 3 + Rental | $15.49 | $16.22 | $16.22 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $117.49 Median $123.03 Typical High $123.03 | Professional | KUUE · Bidding program group 3 + Used equipment | $117.49 | $123.03 | $123.03 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $154.88 Median $194.98 Typical High $363.08 | Facility | KU · Bidding program group 3 | $154.88 | $194.98 | $363.08 |
Where Massachusetts sits
The same service costs 4.8 times more in North Dakota 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· 18th of 51
$138
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.