How much rates vary
Facilitymedian $76 · 10th to 90th $55 to $135Professionalmedian $44 · 10th to 90th $23 to $62
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 $26.92 Median $26.92 Typical High $123.03 | Facility | None | $26.92 | $26.92 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $123.03 | Professional | None | $26.92 | $26.92 | $123.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $20.42 Typical High $93.33 | Professional | UE · Used equipment | $19.50 | $20.42 | $93.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $186.21 | Facility | None | $54.95 | $58.88 | $186.21 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.50 Median $5.75 Typical High $19.50 | Facility | RR · Rental | $5.50 | $5.75 | $19.50 |
AllWays Health Partners Setting Professional Modifier None Typical Low $22.91 Median $61.66 Typical High $61.66 | Professional | None | $22.91 | $61.66 | $61.66 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.29 Median $6.17 Typical High $6.17 | Professional | RR · Rental | $2.29 | $6.17 | $6.17 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $17.38 | $45.71 | $45.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $120.23 | Facility | None | $77.62 | $89.13 | $120.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | None | $43.65 | $52.48 | $52.48 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $4.37 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Facility | None | $38.90 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $67.61 | Professional | None | $33.11 | $38.90 | $67.61 |
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 $19.50 Median $33.11 Typical High $57.54 | Professional | None | $19.50 | $33.11 | $57.54 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.02 Typical High $6.17 | Professional | RR · Rental | $1.95 | $3.02 | $6.17 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $22.39 Typical High $46.77 | Professional | UE · Used equipment | $14.79 | $22.39 | $46.77 |
Health New England Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $186.21 | Facility | None | $54.95 | $58.88 | $186.21 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.50 Median $5.75 Typical High $19.50 | Facility | RR · Rental | $5.50 | $5.75 | $19.50 |
Mass General Brigham Setting Professional Modifier None Typical Low $22.91 Median $61.66 Typical High $61.66 | Professional | None | $22.91 | $61.66 | $61.66 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.29 Median $6.17 Typical High $6.17 | Professional | RR · Rental | $2.29 | $6.17 | $6.17 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $17.38 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $19.50 Median $33.11 Typical High $57.54 | Professional | None | $19.50 | $33.11 | $57.54 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.02 Typical High $5.75 | Professional | RR · Rental | $1.95 | $3.02 | $5.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $22.39 Typical High $43.65 | Professional | UE · Used equipment | $14.79 | $22.39 | $43.65 |
Well Sense Setting Facility Modifier None Typical Low $57.54 Median $75.86 Typical High $134.90 | Facility | None | $57.54 | $75.86 | $134.90 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $5.75 Median $7.24 Typical High $13.49 | Facility | RR · Rental | $5.75 | $7.24 | $13.49 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $43.65 Median $57.54 Typical High $97.72 | Facility | UE · Used equipment | $43.65 | $57.54 | $97.72 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | KENU · Bid item, non-bid base + New equipment | $66.07 | $66.07 | $66.07 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | KERR · Bid item, non-bid base + Rental | $6.61 | $6.61 | $6.61 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KEUE · Bid item, non-bid base + Used equipment | $50.12 | $50.12 | $50.12 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KUNU · Bidding program group 3 + New equipment | $63.10 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | KURR · Bidding program group 3 + Rental | $6.31 | $6.31 | $6.31 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $47.86 | $47.86 | $47.86 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | KENU · Bid item, non-bid base + New equipment | $66.07 | $66.07 | $66.07 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | KERR · Bid item, non-bid base + Rental | $6.61 | $6.61 | $6.61 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KEUE · Bid item, non-bid base + Used equipment | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KUNU · Bidding program group 3 + New equipment | $63.10 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | KURR · Bidding program group 3 + Rental | $6.31 | $6.31 | $6.31 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $47.86 | $47.86 | $47.86 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $60.26 Median $75.86 Typical High $141.25 | Facility | KU · Bidding program group 3 | $60.26 | $75.86 | $141.25 |
Where Massachusetts sits
The same service costs 2.3 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· 11th of 51
$54.95
HI $66.07NM $28.18
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.