How much rates vary
Facilitymedian $65 · 10th to 90th $40 to $110Professionalmedian $47 · 10th to 90th $26 to $76
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 $32.36 Median $32.36 Typical High $147.91 | Facility | None | $32.36 | $32.36 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $109.65 | Professional | None | $23.44 | $32.36 | $109.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $23.99 Typical High $70.79 | Professional | UE · Used equipment | $17.38 | $23.99 | $70.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $151.36 | Facility | None | $43.65 | $48.98 | $151.36 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $4.37 Median $4.68 Typical High $15.85 | Facility | RR · Rental | $4.37 | $4.68 | $15.85 |
AllWays Health Partners Setting Professional Modifier None Typical Low $26.92 Median $50.12 Typical High $52.48 | Professional | None | $26.92 | $50.12 | $52.48 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.63 Median $5.01 Typical High $5.25 | Professional | RR · Rental | $2.63 | $5.01 | $5.25 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $37.15 Typical High $38.90 | Professional | UE · Used equipment | $19.50 | $37.15 | $38.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $109.65 | Facility | None | $70.79 | $81.28 | $109.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | None | $43.65 | $43.65 | $75.86 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $7.59 | Professional | RR · Rental | $4.47 | $4.47 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $41.69 | Facility | None | $30.90 | $30.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $53.70 | Professional | None | $26.30 | $30.90 | $53.70 |
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 $18.20 Median $36.31 Typical High $61.66 | Professional | None | $18.20 | $36.31 | $61.66 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.82 Median $3.24 Typical High $6.31 | Professional | RR · Rental | $1.82 | $3.24 | $6.31 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $24.55 Typical High $47.86 | Professional | UE · Used equipment | $13.49 | $24.55 | $47.86 |
Health New England Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Health New England Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Health New England Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | RR · Rental | $3.80 | $3.80 | $3.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $151.36 | Facility | None | $43.65 | $48.98 | $151.36 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $4.37 Median $4.68 Typical High $15.85 | Facility | RR · Rental | $4.37 | $4.68 | $15.85 |
Mass General Brigham Setting Professional Modifier None Typical Low $26.92 Median $50.12 Typical High $52.48 | Professional | None | $26.92 | $50.12 | $52.48 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.63 Median $5.01 Typical High $5.25 | Professional | RR · Rental | $2.63 | $5.01 | $5.25 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $37.15 Typical High $38.90 | Professional | UE · Used equipment | $19.50 | $37.15 | $38.90 |
United Setting Professional Modifier None Typical Low $18.20 Median $36.31 Typical High $61.66 | Professional | None | $18.20 | $36.31 | $61.66 |
United Setting Professional Modifier RR · Rental Typical Low $1.82 Median $3.24 Typical High $6.17 | Professional | RR · Rental | $1.82 | $3.24 | $6.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $24.55 Typical High $45.71 | Professional | UE · Used equipment | $13.49 | $24.55 | $45.71 |
Well Sense Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $109.65 | Facility | None | $46.77 | $60.26 | $109.65 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $4.68 Median $5.89 Typical High $10.96 | Facility | RR · Rental | $4.68 | $5.89 | $10.96 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $35.48 Median $46.77 Typical High $79.43 | Facility | UE · Used equipment | $35.48 | $46.77 | $79.43 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | KENU · Bid item, non-bid base + New equipment | $69.18 | $69.18 | $69.18 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | KERR · Bid item, non-bid base + Rental | $6.92 | $6.92 | $6.92 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KEUE · Bid item, non-bid base + Used equipment | $51.29 | $51.29 | $51.29 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KUNU · Bidding program group 3 + New equipment | $75.86 | $75.86 | $75.86 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | KURR · Bidding program group 3 + Rental | $7.59 | $7.59 | $7.59 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | KUUE · Bidding program group 3 + Used equipment | $56.23 | $56.23 | $56.23 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KENU · Bid item, non-bid base + New equipment | $69.18 | $69.18 | $69.18 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | KERR · Bid item, non-bid base + Rental | $6.92 | $6.92 | $6.92 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KEUE · Bid item, non-bid base + Used equipment | $51.29 | $51.29 | $51.29 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KUNU · Bidding program group 3 + New equipment | $75.86 | $75.86 | $75.86 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | KURR · Bidding program group 3 + Rental | $7.59 | $7.59 | $7.59 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | KUUE · Bidding program group 3 + Used equipment | $56.23 | $56.23 | $56.23 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $72.44 Median $89.13 Typical High $165.96 | Facility | KU · Bidding program group 3 | $72.44 | $89.13 | $165.96 |
Where Massachusetts sits
The same service costs 2.8 times more in Kansas 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· 6th of 51
$48.98
KS $74.13IL $26.30
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.