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 $151.36 Median $151.36 Typical High $691.83 | Facility | None | $151.36 | $151.36 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $602.56 | Professional | None | $117.49 | $151.36 | $602.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $114.82 Typical High $446.68 | Professional | UE · Used equipment | $87.10 | $114.82 | $446.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $707.95 | Facility | None | $218.78 | $229.09 | $707.95 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $21.88 Median $22.91 Typical High $72.44 | Facility | RR · Rental | $21.88 | $22.91 | $72.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $125.89 Median $229.09 Typical High $245.47 | Professional | None | $125.89 | $229.09 | $245.47 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $12.59 Median $22.91 Typical High $24.55 | Professional | RR · Rental | $12.59 | $22.91 | $24.55 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $173.78 Typical High $186.21 | Professional | UE · Used equipment | $95.50 | $173.78 | $186.21 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $331.13 Median $380.19 Typical High $512.86 | Facility | None | $331.13 | $380.19 | $512.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None | $199.53 | $199.53 | $251.19 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | RR · Rental | $19.95 | $19.95 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Facility | None | $162.18 | $162.18 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $275.42 | Professional | None | $138.04 | $162.18 | $275.42 |
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 $83.18 Median $173.78 Typical High $288.40 | Professional | None | $83.18 | $173.78 | $288.40 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $8.32 Median $15.85 Typical High $31.62 | Professional | RR · Rental | $8.32 | $15.85 | $31.62 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $120.23 Typical High $234.42 | Professional | UE · Used equipment | $63.10 | $120.23 | $234.42 |
Health New England Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $707.95 | Facility | None | $218.78 | $229.09 | $707.95 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $21.88 Median $22.91 Typical High $72.44 | Facility | RR · Rental | $21.88 | $22.91 | $72.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $125.89 Median $229.09 Typical High $245.47 | Professional | None | $125.89 | $229.09 | $245.47 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $12.59 Median $22.91 Typical High $24.55 | Professional | RR · Rental | $12.59 | $22.91 | $24.55 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $173.78 Typical High $186.21 | Professional | UE · Used equipment | $95.50 | $173.78 | $186.21 |
United Setting Professional Modifier None Typical Low $83.18 Median $173.78 Typical High $288.40 | Professional | None | $83.18 | $173.78 | $288.40 |
United Setting Professional Modifier RR · Rental Typical Low $8.32 Median $15.85 Typical High $28.84 | Professional | RR · Rental | $8.32 | $15.85 | $28.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $120.23 Typical High $218.78 | Professional | UE · Used equipment | $63.10 | $120.23 | $218.78 |
Well Sense Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $512.86 | Facility | None | $218.78 | $275.42 | $512.86 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $21.88 Median $27.54 Typical High $51.29 | Facility | RR · Rental | $21.88 | $27.54 | $51.29 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $162.18 Median $208.93 Typical High $380.19 | Facility | UE · Used equipment | $162.18 | $208.93 | $380.19 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | KENU · Bid item, non-bid base + New equipment | $338.84 | $338.84 | $338.84 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KERR · Bid item, non-bid base + Rental | $33.88 | $33.88 | $33.88 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | KEUE · Bid item, non-bid base + Used equipment | $257.04 | $257.04 | $257.04 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | KUNU · Bidding program group 3 + New equipment | $354.81 | $354.81 | $354.81 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | KURR · Bidding program group 3 + Rental | $35.48 | $35.48 | $35.48 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | KUUE · Bidding program group 3 + Used equipment | $269.15 | $269.15 | $269.15 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KENU · Bid item, non-bid base + New equipment | $338.84 | $338.84 | $338.84 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KERR · Bid item, non-bid base + Rental | $33.88 | $33.88 | $33.88 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | KEUE · Bid item, non-bid base + Used equipment | $257.04 | $257.04 | $257.04 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | KUNU · Bidding program group 3 + New equipment | $354.81 | $354.81 | $354.81 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | KURR · Bidding program group 3 + Rental | $35.48 | $35.48 | $35.48 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | KUUE · Bidding program group 3 + Used equipment | $269.15 | $269.15 | $269.15 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $338.84 Median $446.68 Typical High $794.33 | Facility | KU · Bidding program group 3 | $338.84 | $446.68 | $794.33 |
Where Massachusetts sits
The same service costs 2.6 times more in Hawaii 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· 15th of 51
$229
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.