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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $575.44 | Professional | None | $223.87 | $223.87 | $575.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $426.58 | Professional | UE · Used equipment | $165.96 | $165.96 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $1,513.56 | Facility | None | $446.68 | $467.74 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $44.67 Median $45.71 Typical High $154.88 | Facility | RR · Rental | $44.67 | $45.71 | $154.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $190.55 Median $489.78 Typical High $489.78 | Professional | None | $190.55 | $489.78 | $489.78 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $19.05 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $19.05 | $48.98 | $48.98 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $363.08 Typical High $363.08 | Professional | UE · Used equipment | $141.25 | $363.08 | $363.08 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | None | $338.84 | $416.87 | $416.87 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $33.88 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $549.54 | Professional | None | $281.84 | $331.13 | $549.54 |
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 $158.49 Median $281.84 Typical High $457.09 | Professional | None | $158.49 | $281.84 | $457.09 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $15.85 Median $24.55 Typical High $50.12 | Professional | RR · Rental | $15.85 | $24.55 | $50.12 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $181.97 Typical High $380.19 | Professional | UE · Used equipment | $120.23 | $181.97 | $380.19 |
Health New England Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $1,513.56 | Facility | None | $446.68 | $467.74 | $1,513.56 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $44.67 Median $45.71 Typical High $154.88 | Facility | RR · Rental | $44.67 | $45.71 | $154.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $190.55 Median $489.78 Typical High $489.78 | Professional | None | $190.55 | $489.78 | $489.78 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $19.05 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $19.05 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $363.08 Typical High $363.08 | Professional | UE · Used equipment | $141.25 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $457.09 | Professional | None | $158.49 | $251.19 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $15.85 Median $24.55 Typical High $45.71 | Professional | RR · Rental | $15.85 | $24.55 | $45.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $181.97 Typical High $346.74 | Professional | UE · Used equipment | $120.23 | $181.97 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,071.52 | Facility | None | $457.09 | $575.44 | $1,071.52 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $45.71 Median $57.54 Typical High $107.15 | Facility | RR · Rental | $45.71 | $57.54 | $107.15 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $346.74 Median $446.68 Typical High $812.83 | Facility | UE · Used equipment | $346.74 | $446.68 | $812.83 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | KENU · Bid item, non-bid base + New equipment | $537.03 | $537.03 | $537.03 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KERR · Bid item, non-bid base + Rental | $53.70 | $53.70 | $53.70 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | KEUE · Bid item, non-bid base + Used equipment | $407.38 | $407.38 | $407.38 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | KUNU · Bidding program group 3 + New equipment | $524.81 | $524.81 | $524.81 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KURR · Bidding program group 3 + Rental | $52.48 | $52.48 | $52.48 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | KUUE · Bidding program group 3 + Used equipment | $389.05 | $389.05 | $389.05 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KENU · Bid item, non-bid base + New equipment | $537.03 | $537.03 | $537.03 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KERR · Bid item, non-bid base + Rental | $53.70 | $53.70 | $53.70 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | KEUE · Bid item, non-bid base + Used equipment | $407.38 | $407.38 | $407.38 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | KUNU · Bidding program group 3 + New equipment | $524.81 | $524.81 | $524.81 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KURR · Bidding program group 3 + Rental | $52.48 | $52.48 | $52.48 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | KUUE · Bidding program group 3 + Used equipment | $389.05 | $389.05 | $389.05 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $501.19 Median $630.96 Typical High $1,148.15 | Facility | KU · Bidding program group 3 | $501.19 | $630.96 | $1,148.15 |
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· 12th of 51
$417
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.