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 $208.93 Median $208.93 Typical High $954.99 | Facility | None | $208.93 | $208.93 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $602.56 | Professional | None | $154.88 | $208.93 | $602.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $154.88 Typical High $562.34 | Professional | UE · Used equipment | $114.82 | $154.88 | $562.34 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $371.54 Typical High $1,122.02 | Facility | None | $346.74 | $371.54 | $1,122.02 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $117.49 | Facility | RR · Rental | $34.67 | $34.67 | $117.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $173.78 Median $371.54 Typical High $371.54 | Professional | None | $173.78 | $371.54 | $371.54 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $17.38 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $17.38 | $37.15 | $37.15 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $275.42 Typical High $275.42 | Professional | UE · Used equipment | $131.83 | $275.42 | $275.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $338.84 | Professional | None | $316.23 | $316.23 | $338.84 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $33.88 | Professional | RR · Rental | $31.62 | $31.62 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $316.23 | Facility | None | $245.47 | $245.47 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $436.52 | Professional | None | $208.93 | $245.47 | $436.52 |
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 $128.82 Median $251.19 Typical High $389.05 | Professional | None | $128.82 | $251.19 | $389.05 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $12.88 Median $22.91 Typical High $44.67 | Professional | RR · Rental | $12.88 | $22.91 | $44.67 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $169.82 Typical High $338.84 | Professional | UE · Used equipment | $95.50 | $169.82 | $338.84 |
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 $346.74 Median $371.54 Typical High $1,122.02 | Facility | None | $346.74 | $371.54 | $1,122.02 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $117.49 | Facility | RR · Rental | $34.67 | $34.67 | $117.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $173.78 Median $371.54 Typical High $371.54 | Professional | None | $173.78 | $371.54 | $371.54 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $17.38 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $17.38 | $37.15 | $37.15 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $275.42 Typical High $275.42 | Professional | UE · Used equipment | $131.83 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $389.05 | Professional | None | $128.82 | $251.19 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $12.88 Median $22.91 Typical High $38.90 | Professional | RR · Rental | $12.88 | $22.91 | $38.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $169.82 Typical High $295.12 | Professional | UE · Used equipment | $95.50 | $169.82 | $295.12 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $436.52 Typical High $812.83 | Facility | None | $346.74 | $436.52 | $812.83 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $34.67 Median $43.65 Typical High $81.28 | Facility | RR · Rental | $34.67 | $43.65 | $81.28 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $263.03 Median $331.13 Typical High $616.60 | Facility | UE · Used equipment | $263.03 | $331.13 | $616.60 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | KENU · Bid item, non-bid base + New equipment | $478.63 | $478.63 | $478.63 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KERR · Bid item, non-bid base + Rental | $47.86 | $47.86 | $47.86 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | KEUE · Bid item, non-bid base + Used equipment | $363.08 | $363.08 | $363.08 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | KUNU · Bidding program group 3 + New equipment | $478.63 | $478.63 | $478.63 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KURR · Bidding program group 3 + Rental | $47.86 | $47.86 | $47.86 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | KUUE · Bidding program group 3 + Used equipment | $363.08 | $363.08 | $363.08 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | KENU · Bid item, non-bid base + New equipment | $478.63 | $478.63 | $478.63 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KERR · Bid item, non-bid base + Rental | $47.86 | $47.86 | $47.86 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | KEUE · Bid item, non-bid base + Used equipment | $363.08 | $363.08 | $363.08 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | KUNU · Bidding program group 3 + New equipment | $478.63 | $478.63 | $478.63 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KURR · Bidding program group 3 + Rental | $47.86 | $47.86 | $47.86 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | KUUE · Bidding program group 3 + Used equipment | $363.08 | $363.08 | $363.08 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $457.09 Median $588.84 Typical High $1,071.52 | Facility | KU · Bidding program group 3 | $457.09 | $588.84 | $1,071.52 |
Where Massachusetts sits
The same service costs 2.4 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· 11th of 51
$339
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.