How much rates vary
Facilitymedian $224 · 10th to 90th $89 to $692Professionalmedian $158 · 10th to 90th $76 to $224
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $323.59 | Professional | None | $102.33 | $102.33 | $323.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $77.62 Typical High $186.21 | Professional | UE · Used equipment | $77.62 | $77.62 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $691.83 | Facility | None | $190.55 | $213.80 | $691.83 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $19.05 Median $21.38 Typical High $70.79 | Facility | RR · Rental | $19.05 | $21.38 | $70.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $75.86 Median $223.87 Typical High $223.87 | Professional | None | $75.86 | $223.87 | $223.87 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $7.59 Median $22.39 Typical High $22.39 | Professional | RR · Rental | $7.59 | $22.39 | $22.39 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $169.82 Typical High $169.82 | Professional | UE · Used equipment | $57.54 | $169.82 | $169.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | None | $158.49 | $190.55 | $190.55 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $15.85 Median $19.05 Typical High $19.05 | Professional | RR · Rental | $15.85 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $229.09 | Professional | None | $60.26 | $83.18 | $229.09 |
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 $72.44 Median $117.49 Typical High $213.80 | Professional | None | $72.44 | $117.49 | $213.80 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $7.24 Median $11.22 Typical High $23.44 | Professional | RR · Rental | $7.24 | $11.22 | $23.44 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $85.11 Typical High $177.83 | Professional | UE · Used equipment | $54.95 | $85.11 | $177.83 |
Health New England Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $691.83 | Facility | None | $190.55 | $213.80 | $691.83 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $19.05 Median $21.38 Typical High $70.79 | Facility | RR · Rental | $19.05 | $21.38 | $70.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $75.86 Median $223.87 Typical High $223.87 | Professional | None | $75.86 | $223.87 | $223.87 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $7.59 Median $22.39 Typical High $22.39 | Professional | RR · Rental | $7.59 | $22.39 | $22.39 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $169.82 Typical High $169.82 | Professional | UE · Used equipment | $57.54 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $213.80 | Professional | None | $72.44 | $112.20 | $213.80 |
United Setting Professional Modifier RR · Rental Typical Low $7.24 Median $11.22 Typical High $21.38 | Professional | RR · Rental | $7.24 | $11.22 | $21.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $85.11 Typical High $158.49 | Professional | UE · Used equipment | $54.95 | $85.11 | $158.49 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $269.15 Typical High $489.78 | Facility | None | $213.80 | $269.15 | $489.78 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $21.38 Median $26.92 Typical High $48.98 | Facility | RR · Rental | $21.38 | $26.92 | $48.98 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $158.49 Median $199.53 Typical High $371.54 | Facility | UE · Used equipment | $158.49 | $199.53 | $371.54 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | KUNU · Bidding program group 3 + New equipment | $239.88 | $239.88 | $239.88 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KURR · Bidding program group 3 + Rental | $23.99 | $23.99 | $23.99 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | KUUE · Bidding program group 3 + Used equipment | $177.83 | $177.83 | $177.83 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | KUNU · Bidding program group 3 + New equipment | $239.88 | $239.88 | $239.88 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KURR · Bidding program group 3 + Rental | $23.99 | $23.99 | $23.99 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | KUUE · Bidding program group 3 + Used equipment | $177.83 | $177.83 | $177.83 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $229.09 Median $295.12 Typical High $537.03 | Facility | KU · Bidding program group 3 | $229.09 | $295.12 | $537.03 |
Where Massachusetts sits
The same service costs 2.9 times more in Kansas 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· 8th of 51
$191
KS $240VT $83.18
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.