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 $100.00 Median $100.00 Typical High $457.09 | Facility | None | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $426.58 | Professional | None | $91.20 | $100.00 | $426.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $74.13 Typical High $316.23 | Professional | UE · Used equipment | $67.61 | $74.13 | $316.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $501.19 | Facility | None | $154.88 | $162.18 | $501.19 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $15.49 Median $16.22 Typical High $51.29 | Facility | RR · Rental | $15.49 | $16.22 | $51.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $169.82 | Professional | None | $83.18 | $162.18 | $169.82 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $8.32 Median $16.22 Typical High $16.98 | Professional | RR · Rental | $8.32 | $16.22 | $16.98 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $123.03 Typical High $125.89 | Professional | UE · Used equipment | $63.10 | $123.03 | $125.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $269.15 | Professional | None | $141.25 | $141.25 | $269.15 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $14.13 Median $14.13 Typical High $27.54 | Professional | RR · Rental | $14.13 | $14.13 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | None | $114.82 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $204.17 | Professional | None | $97.72 | $114.82 | $204.17 |
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 $57.54 Median $120.23 Typical High $190.55 | Professional | None | $57.54 | $120.23 | $190.55 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $5.75 Median $10.72 Typical High $21.38 | Professional | RR · Rental | $5.75 | $10.72 | $21.38 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $81.28 Typical High $158.49 | Professional | UE · Used equipment | $43.65 | $81.28 | $158.49 |
Health New England Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $501.19 | Facility | None | $154.88 | $162.18 | $501.19 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $15.49 Median $16.22 Typical High $51.29 | Facility | RR · Rental | $15.49 | $16.22 | $51.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $169.82 | Professional | None | $83.18 | $162.18 | $169.82 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $8.32 Median $16.22 Typical High $16.98 | Professional | RR · Rental | $8.32 | $16.22 | $16.98 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $123.03 Typical High $125.89 | Professional | UE · Used equipment | $63.10 | $123.03 | $125.89 |
United Setting Professional Modifier None Typical Low $57.54 Median $120.23 Typical High $190.55 | Professional | None | $57.54 | $120.23 | $190.55 |
United Setting Professional Modifier RR · Rental Typical Low $5.75 Median $10.72 Typical High $18.62 | Professional | RR · Rental | $5.75 | $10.72 | $18.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $81.28 Typical High $141.25 | Professional | UE · Used equipment | $43.65 | $81.28 | $141.25 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $363.08 | Facility | None | $154.88 | $194.98 | $363.08 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $15.49 Median $19.50 Typical High $36.31 | Facility | RR · Rental | $15.49 | $19.50 | $36.31 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $114.82 Median $151.36 Typical High $263.03 | Facility | UE · Used equipment | $114.82 | $151.36 | $263.03 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | KENU · Bid item, non-bid base + New equipment | $229.09 | $229.09 | $229.09 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | KERR · Bid item, non-bid base + Rental | $22.91 | $22.91 | $22.91 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | KEUE · Bid item, non-bid base + Used equipment | $173.78 | $173.78 | $173.78 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | KUNU · Bidding program group 3 + New equipment | $229.09 | $229.09 | $229.09 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | KURR · Bidding program group 3 + Rental | $22.91 | $22.91 | $22.91 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | KUUE · Bidding program group 3 + Used equipment | $173.78 | $173.78 | $173.78 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | KENU · Bid item, non-bid base + New equipment | $229.09 | $229.09 | $229.09 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | KERR · Bid item, non-bid base + Rental | $22.91 | $22.91 | $22.91 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | KEUE · Bid item, non-bid base + Used equipment | $173.78 | $173.78 | $173.78 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | KUNU · Bidding program group 3 + New equipment | $229.09 | $229.09 | $229.09 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | KURR · Bidding program group 3 + Rental | $22.91 | $22.91 | $22.91 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | KUUE · Bidding program group 3 + Used equipment | $173.78 | $173.78 | $173.78 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $223.87 Median $281.84 Typical High $512.86 | Facility | KU · Bidding program group 3 | $223.87 | $281.84 | $512.86 |
Where Massachusetts sits
The same service costs 3.3 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· 15th of 51
$155
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.