How much rates vary
Facilitymedian $479 · 10th to 90th $355 to $851Professionalmedian $275 · 10th to 90th $148 to $389
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $549.54 | Professional | None | $173.78 | $173.78 | $549.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | UE · Used equipment | $131.83 | $131.83 | $223.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $1,202.26 | Facility | None | $354.81 | $371.54 | $1,202.26 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $35.48 Median $37.15 Typical High $123.03 | Facility | RR · Rental | $35.48 | $37.15 | $123.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $389.05 | Professional | None | $147.91 | $389.05 | $389.05 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $14.79 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $14.79 | $38.90 | $38.90 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $109.65 | $288.40 | $288.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $758.58 | Facility | None | $489.78 | $575.44 | $758.58 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $346.74 | Professional | None | $263.03 | $346.74 | $346.74 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $26.30 Median $34.67 Typical High $34.67 | Professional | RR · Rental | $26.30 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $323.59 | Facility | None | $263.03 | $263.03 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $436.52 | Professional | None | $223.87 | $263.03 | $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 $125.89 Median $223.87 Typical High $371.54 | Professional | None | $125.89 | $223.87 | $371.54 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $12.59 Median $19.05 Typical High $39.81 | Professional | RR · Rental | $12.59 | $19.05 | $39.81 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $144.54 Typical High $295.12 | Professional | UE · Used equipment | $93.33 | $144.54 | $295.12 |
Health New England Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $1,202.26 | Facility | None | $354.81 | $371.54 | $1,202.26 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $35.48 Median $37.15 Typical High $123.03 | Facility | RR · Rental | $35.48 | $37.15 | $123.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $389.05 | Professional | None | $147.91 | $389.05 | $389.05 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $14.79 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $14.79 | $38.90 | $38.90 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $109.65 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $371.54 | Professional | None | $125.89 | $223.87 | $371.54 |
United Setting Professional Modifier RR · Rental Typical Low $12.59 Median $19.05 Typical High $37.15 | Professional | RR · Rental | $12.59 | $19.05 | $37.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $144.54 Typical High $275.42 | Professional | UE · Used equipment | $93.33 | $144.54 | $275.42 |
Well Sense Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $851.14 | Facility | None | $371.54 | $467.74 | $851.14 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $37.15 Median $46.77 Typical High $85.11 | Facility | RR · Rental | $37.15 | $46.77 | $85.11 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $275.42 Median $354.81 Typical High $645.65 | Facility | UE · Used equipment | $275.42 | $354.81 | $645.65 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | KENU · Bid item, non-bid base + New equipment | $426.58 | $426.58 | $426.58 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KERR · Bid item, non-bid base + Rental | $42.66 | $42.66 | $42.66 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | KEUE · Bid item, non-bid base + Used equipment | $323.59 | $323.59 | $323.59 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | KUNU · Bidding program group 3 + New equipment | $407.38 | $407.38 | $407.38 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | KURR · Bidding program group 3 + Rental | $40.74 | $40.74 | $40.74 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | KUUE · Bidding program group 3 + Used equipment | $302.00 | $302.00 | $302.00 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | KENU · Bid item, non-bid base + New equipment | $426.58 | $426.58 | $426.58 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KERR · Bid item, non-bid base + Rental | $42.66 | $42.66 | $42.66 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | KEUE · Bid item, non-bid base + Used equipment | $323.59 | $323.59 | $323.59 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | KUNU · Bidding program group 3 + New equipment | $407.38 | $407.38 | $407.38 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | KURR · Bidding program group 3 + Rental | $40.74 | $40.74 | $40.74 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | KUUE · Bidding program group 3 + Used equipment | $302.00 | $302.00 | $302.00 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $389.05 Median $489.78 Typical High $912.01 | Facility | KU · Bidding program group 3 | $389.05 | $489.78 | $912.01 |
Where Massachusetts sits
The same service costs 2.2 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· 10th of 51
$347
HI $407NM $182
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.