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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,548.82 | Professional | None | $524.81 | $524.81 | $1,548.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $1,202.26 | Professional | UE · Used equipment | $389.05 | $389.05 | $1,202.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $3,715.35 | Facility | None | $1,071.52 | $1,148.15 | $3,715.35 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $107.15 Median $117.49 Typical High $389.05 | Facility | RR · Rental | $107.15 | $117.49 | $389.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $426.58 Median $1,230.27 Typical High $1,230.27 | Professional | None | $426.58 | $1,230.27 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $42.66 Median $123.03 Typical High $123.03 | Professional | RR · Rental | $42.66 | $123.03 | $123.03 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $912.01 Typical High $912.01 | Professional | UE · Used equipment | $323.59 | $912.01 | $912.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $1,995.26 | Facility | None | $1,318.26 | $1,513.56 | $1,995.26 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | None | $812.83 | $1,047.13 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $81.28 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $1,318.26 | Professional | None | $288.40 | $398.11 | $1,318.26 |
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 $389.05 Median $645.65 Typical High $1,174.90 | Professional | None | $389.05 | $645.65 | $1,174.90 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $38.90 Median $60.26 Typical High $131.83 | Professional | RR · Rental | $38.90 | $60.26 | $131.83 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $446.68 Typical High $1,000.00 | Professional | UE · Used equipment | $295.12 | $446.68 | $1,000.00 |
Health New England Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Health New England Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $3,715.35 | Facility | None | $1,071.52 | $1,148.15 | $3,715.35 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $107.15 Median $117.49 Typical High $389.05 | Facility | RR · Rental | $107.15 | $117.49 | $389.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $426.58 Median $1,230.27 Typical High $1,230.27 | Professional | None | $426.58 | $1,230.27 | $1,230.27 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $42.66 Median $123.03 Typical High $123.03 | Professional | RR · Rental | $42.66 | $123.03 | $123.03 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $912.01 Typical High $912.01 | Professional | UE · Used equipment | $323.59 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $1,174.90 | Professional | None | $389.05 | $602.56 | $1,174.90 |
United Setting Professional Modifier RR · Rental Typical Low $38.90 Median $60.26 Typical High $117.49 | Professional | RR · Rental | $38.90 | $60.26 | $117.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $446.68 Typical High $870.96 | Professional | UE · Used equipment | $295.12 | $446.68 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $2,691.53 | Facility | None | $1,174.90 | $1,445.44 | $2,691.53 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $117.49 Median $144.54 Typical High $269.15 | Facility | RR · Rental | $117.49 | $144.54 | $269.15 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $870.96 Median $1,122.02 Typical High $2,041.74 | Facility | UE · Used equipment | $870.96 | $1,122.02 | $2,041.74 |
7 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 KUNU · Bidding program group 3 + New equipment Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | KUNU · Bidding program group 3 + New equipment | $1,230.27 | $1,230.27 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | KURR · Bidding program group 3 + Rental | $123.03 | $123.03 | $123.03 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | KUUE · Bidding program group 3 + Used equipment | $912.01 | $912.01 | $912.01 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | KUNU · Bidding program group 3 + New equipment | $1,230.27 | $1,230.27 | $1,230.27 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | KURR · Bidding program group 3 + Rental | $123.03 | $123.03 | $123.03 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | KUUE · Bidding program group 3 + Used equipment | $912.01 | $912.01 | $912.01 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $1,174.90 Median $1,479.11 Typical High $2,754.23 | Facility | KU · Bidding program group 3 | $1,174.90 | $1,479.11 | $2,754.23 |
Where Massachusetts sits
The same service costs 3.1 times more in Wisconsin than in Vermont. 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
$1,047
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.