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 $181.97 Median $181.97 Typical High $831.76 | Facility | None | $181.97 | $181.97 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $691.83 | Professional | None | $165.96 | $181.97 | $691.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $138.04 Typical High $512.86 | Professional | UE · Used equipment | $123.03 | $138.04 | $512.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $912.01 | Facility | None | $281.84 | $295.12 | $912.01 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $28.18 Median $28.84 Typical High $93.33 | Facility | RR · Rental | $28.18 | $28.84 | $93.33 |
AllWays Health Partners Setting Professional Modifier None Typical Low $154.88 Median $295.12 Typical High $309.03 | Professional | None | $154.88 | $295.12 | $309.03 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $15.49 Median $29.51 Typical High $30.90 | Professional | RR · Rental | $15.49 | $29.51 | $30.90 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $223.87 Typical High $234.42 | Professional | UE · Used equipment | $117.49 | $223.87 | $234.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | None | $257.04 | $257.04 | $302.00 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | RR · Rental | $25.70 | $25.70 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Facility | None | $204.17 | $204.17 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $346.74 | Professional | None | $173.78 | $204.17 | $346.74 |
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 $104.71 Median $218.78 Typical High $346.74 | Professional | None | $104.71 | $218.78 | $346.74 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $10.47 Median $19.50 Typical High $38.90 | Professional | RR · Rental | $10.47 | $19.50 | $38.90 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $147.91 Typical High $288.40 | Professional | UE · Used equipment | $79.43 | $147.91 | $288.40 |
Health New England Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $912.01 | Facility | None | $281.84 | $295.12 | $912.01 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $28.18 Median $28.84 Typical High $93.33 | Facility | RR · Rental | $28.18 | $28.84 | $93.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $154.88 Median $295.12 Typical High $309.03 | Professional | None | $154.88 | $295.12 | $309.03 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $15.49 Median $29.51 Typical High $30.90 | Professional | RR · Rental | $15.49 | $29.51 | $30.90 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $223.87 Typical High $234.42 | Professional | UE · Used equipment | $117.49 | $223.87 | $234.42 |
United Setting Professional Modifier None Typical Low $104.71 Median $218.78 Typical High $346.74 | Professional | None | $104.71 | $218.78 | $346.74 |
United Setting Professional Modifier RR · Rental Typical Low $10.47 Median $19.50 Typical High $34.67 | Professional | RR · Rental | $10.47 | $19.50 | $34.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $147.91 Typical High $263.03 | Professional | UE · Used equipment | $79.43 | $147.91 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $660.69 | Facility | None | $281.84 | $363.08 | $660.69 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $28.18 Median $36.31 Typical High $66.07 | Facility | RR · Rental | $28.18 | $36.31 | $66.07 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $213.80 Median $281.84 Typical High $478.63 | Facility | UE · Used equipment | $213.80 | $281.84 | $478.63 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | KENU · Bid item, non-bid base + New equipment | $416.87 | $416.87 | $416.87 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | KERR · Bid item, non-bid base + Rental | $41.69 | $41.69 | $41.69 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | KEUE · Bid item, non-bid base + Used equipment | $309.03 | $309.03 | $309.03 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | KUNU · Bidding program group 3 + New equipment | $426.58 | $426.58 | $426.58 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KURR · Bidding program group 3 + Rental | $42.66 | $42.66 | $42.66 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | KUUE · Bidding program group 3 + Used equipment | $323.59 | $323.59 | $323.59 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | KENU · Bid item, non-bid base + New equipment | $416.87 | $416.87 | $416.87 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | KERR · Bid item, non-bid base + Rental | $41.69 | $41.69 | $41.69 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | KEUE · Bid item, non-bid base + Used equipment | $309.03 | $309.03 | $309.03 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | KUNU · Bidding program group 3 + New equipment | $426.58 | $426.58 | $426.58 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KURR · Bidding program group 3 + Rental | $42.66 | $42.66 | $42.66 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | KUUE · Bidding program group 3 + Used equipment | $323.59 | $323.59 | $323.59 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $407.38 Median $537.03 Typical High $954.99 | Facility | KU · Bidding program group 3 | $407.38 | $537.03 | $954.99 |
Where Massachusetts sits
The same service costs 2.8 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· 14th of 51
$282
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.