How much rates vary
Facilitymedian $120 · 10th to 90th $83 to $347Professionalmedian $115 · 10th to 90th $65 to $191
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 $79.43 Median $79.43 Typical High $363.08 | Facility | None | $79.43 | $79.43 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $380.19 | Professional | None | $60.26 | $79.43 | $380.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $60.26 Typical High $275.42 | Professional | UE · Used equipment | $43.65 | $60.26 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $354.81 | Facility | None | $109.65 | $114.82 | $354.81 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $10.96 Median $11.48 Typical High $36.31 | Facility | RR · Rental | $10.96 | $11.48 | $36.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $64.57 Median $114.82 Typical High $128.82 | Professional | None | $64.57 | $114.82 | $128.82 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $6.46 Median $11.48 Typical High $12.88 | Professional | RR · Rental | $6.46 | $11.48 | $12.88 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $87.10 Typical High $91.20 | Professional | UE · Used equipment | $47.86 | $87.10 | $91.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $190.55 | Professional | None | $97.72 | $97.72 | $190.55 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $19.50 | Professional | RR · Rental | $9.77 | $9.77 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $147.91 | Professional | None | $69.18 | $81.28 | $147.91 |
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 $42.66 Median $89.13 Typical High $151.36 | Professional | None | $42.66 | $89.13 | $151.36 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $4.27 Median $8.32 Typical High $16.22 | Professional | RR · Rental | $4.27 | $8.32 | $16.22 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $61.66 Typical High $120.23 | Professional | UE · Used equipment | $32.36 | $61.66 | $120.23 |
Health New England Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Health New England Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $9.33 | $9.33 | $9.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $354.81 | Facility | None | $109.65 | $114.82 | $354.81 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $10.96 Median $11.48 Typical High $36.31 | Facility | RR · Rental | $10.96 | $11.48 | $36.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $64.57 Median $114.82 Typical High $128.82 | Professional | None | $64.57 | $114.82 | $128.82 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $6.46 Median $11.48 Typical High $12.88 | Professional | RR · Rental | $6.46 | $11.48 | $12.88 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $87.10 Typical High $91.20 | Professional | UE · Used equipment | $47.86 | $87.10 | $91.20 |
United Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $151.36 | Professional | None | $42.66 | $89.13 | $151.36 |
United Setting Professional Modifier RR · Rental Typical Low $4.27 Median $8.32 Typical High $15.14 | Professional | RR · Rental | $4.27 | $8.32 | $15.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $61.66 Typical High $114.82 | Professional | UE · Used equipment | $32.36 | $61.66 | $114.82 |
Well Sense Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $251.19 | Facility | None | $109.65 | $141.25 | $251.19 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $10.96 Median $13.80 Typical High $25.70 | Facility | RR · Rental | $10.96 | $13.80 | $25.70 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $81.28 Median $109.65 Typical High $186.21 | Facility | UE · Used equipment | $81.28 | $109.65 | $186.21 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | KENU · Bid item, non-bid base + New equipment | $173.78 | $173.78 | $173.78 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | KERR · Bid item, non-bid base + Rental | $17.38 | $17.38 | $17.38 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | KEUE · Bid item, non-bid base + Used equipment | $131.83 | $131.83 | $131.83 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KUNU · Bidding program group 3 + New equipment | $186.21 | $186.21 | $186.21 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | KURR · Bidding program group 3 + Rental | $18.62 | $18.62 | $18.62 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KUUE · Bidding program group 3 + Used equipment | $141.25 | $141.25 | $141.25 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | KENU · Bid item, non-bid base + New equipment | $173.78 | $173.78 | $173.78 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | KERR · Bid item, non-bid base + Rental | $17.38 | $17.38 | $17.38 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | KEUE · Bid item, non-bid base + Used equipment | $131.83 | $131.83 | $131.83 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KUNU · Bidding program group 3 + New equipment | $186.21 | $186.21 | $186.21 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | KURR · Bidding program group 3 + Rental | $18.62 | $18.62 | $18.62 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KUUE · Bidding program group 3 + Used equipment | $141.25 | $141.25 | $141.25 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $177.83 Median $223.87 Typical High $416.87 | Facility | KU · Bidding program group 3 | $177.83 | $223.87 | $416.87 |
Where Massachusetts sits
The same service costs 3.0 times more in Kansas 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· 14th of 51
$115
KS $195NM $64.57
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.