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 $141.25 Median $141.25 Typical High $645.65 | Facility | None | $141.25 | $141.25 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $645.65 | Professional | None | $131.83 | $141.25 | $645.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $107.15 Typical High $489.78 | Professional | UE · Used equipment | $100.00 | $107.15 | $489.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $776.25 | Facility | None | $234.42 | $251.19 | $776.25 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $23.44 Median $23.99 Typical High $79.43 | Facility | RR · Rental | $23.44 | $23.99 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $251.19 | Professional | None | $120.23 | $251.19 | $251.19 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $12.02 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $12.02 | $25.12 | $25.12 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $190.55 Typical High $190.55 | Professional | UE · Used equipment | $89.13 | $190.55 | $190.55 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $524.81 | Facility | None | $338.84 | $398.11 | $524.81 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None | $218.78 | $218.78 | $275.42 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | RR · Rental | $21.88 | $21.88 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $218.78 | Facility | None | $165.96 | $165.96 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $295.12 | Professional | None | $141.25 | $165.96 | $295.12 |
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 $87.10 Median $173.78 Typical High $269.15 | Professional | None | $87.10 | $173.78 | $269.15 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $8.71 Median $15.49 Typical High $30.90 | Professional | RR · Rental | $8.71 | $15.49 | $30.90 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $117.49 Typical High $229.09 | Professional | UE · Used equipment | $66.07 | $117.49 | $229.09 |
Health New England Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $776.25 | Facility | None | $234.42 | $251.19 | $776.25 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $23.44 Median $23.99 Typical High $79.43 | Facility | RR · Rental | $23.44 | $23.99 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $251.19 | Professional | None | $120.23 | $251.19 | $251.19 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $12.02 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $12.02 | $25.12 | $25.12 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $190.55 Typical High $190.55 | Professional | UE · Used equipment | $89.13 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $87.10 Median $173.78 Typical High $269.15 | Professional | None | $87.10 | $173.78 | $269.15 |
United Setting Professional Modifier RR · Rental Typical Low $8.71 Median $15.49 Typical High $26.92 | Professional | RR · Rental | $8.71 | $15.49 | $26.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $117.49 Typical High $204.17 | Professional | UE · Used equipment | $66.07 | $117.49 | $204.17 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $562.34 | Facility | None | $239.88 | $302.00 | $562.34 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $23.99 Median $30.20 Typical High $56.23 | Facility | RR · Rental | $23.99 | $30.20 | $56.23 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $177.83 Median $229.09 Typical High $407.38 | Facility | UE · Used equipment | $177.83 | $229.09 | $407.38 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | KENU · Bid item, non-bid base + New equipment | $331.13 | $331.13 | $331.13 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | KERR · Bid item, non-bid base + Rental | $33.11 | $33.11 | $33.11 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KEUE · Bid item, non-bid base + Used equipment | $245.47 | $245.47 | $245.47 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | KUNU · Bidding program group 3 + New equipment | $331.13 | $331.13 | $331.13 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | KURR · Bidding program group 3 + Rental | $33.11 | $33.11 | $33.11 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KUUE · Bidding program group 3 + Used equipment | $245.47 | $245.47 | $245.47 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | KENU · Bid item, non-bid base + New equipment | $331.13 | $331.13 | $331.13 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | KERR · Bid item, non-bid base + Rental | $33.11 | $33.11 | $33.11 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KEUE · Bid item, non-bid base + Used equipment | $245.47 | $245.47 | $245.47 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | KUNU · Bidding program group 3 + New equipment | $331.13 | $331.13 | $331.13 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | KURR · Bidding program group 3 + Rental | $33.11 | $33.11 | $33.11 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KUUE · Bidding program group 3 + Used equipment | $245.47 | $245.47 | $245.47 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $316.23 Median $398.11 Typical High $741.31 | Facility | KU · Bidding program group 3 | $316.23 | $398.11 | $741.31 |
Where Massachusetts sits
The same service costs 2.7 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· 10th of 51
$245
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.