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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $323.59 | Professional | None | $234.42 | $323.59 | $323.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $245.47 Typical High $245.47 | Professional | UE · Used equipment | $173.78 | $245.47 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $35.48 Median $229.09 Typical High $602.56 | Facility | None | $35.48 | $229.09 | $602.56 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $23.99 Median $48.98 Typical High $79.43 | Facility | RR · Rental | $23.99 | $48.98 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $42.66 Median $501.19 Typical High $501.19 | Professional | None | $42.66 | $501.19 | $501.19 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $15.49 Median $25.12 Typical High $30.20 | Professional | RR · Rental | $15.49 | $25.12 | $30.20 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $371.54 Typical High $371.54 | Professional | UE · Used equipment | $213.80 | $371.54 | $371.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,479.11 | Facility | None | $489.78 | $489.78 | $1,479.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | None | $323.59 | $323.59 | $467.74 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $46.77 | Professional | RR · Rental | $32.36 | $32.36 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $436.52 | Facility | None | $194.98 | $194.98 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $323.59 | Professional | None | $165.96 | $194.98 | $323.59 |
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 $26.30 Median $151.36 Typical High $398.11 | Professional | None | $26.30 | $151.36 | $398.11 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $12.30 Median $24.55 Typical High $40.74 | Professional | RR · Rental | $12.30 | $24.55 | $40.74 |
Health New England Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Health New England Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Health New England Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $35.48 Median $229.09 Typical High $602.56 | Facility | None | $35.48 | $229.09 | $602.56 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $23.99 Median $48.98 Typical High $79.43 | Facility | RR · Rental | $23.99 | $48.98 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $42.66 Median $501.19 Typical High $501.19 | Professional | None | $42.66 | $501.19 | $501.19 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $15.49 Median $25.12 Typical High $30.20 | Professional | RR · Rental | $15.49 | $25.12 | $30.20 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $371.54 Typical High $371.54 | Professional | UE · Used equipment | $213.80 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $26.30 Median $186.21 Typical High $501.19 | Professional | None | $26.30 | $186.21 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $12.30 Median $24.55 Typical High $53.70 | Professional | RR · Rental | $12.30 | $24.55 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $467.74 | Facility | None | $204.17 | $263.03 | $467.74 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $151.36 Median $199.53 Typical High $354.81 | Facility | UE · Used equipment | $151.36 | $199.53 | $354.81 |
1 more rate 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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier KJ · Rental month 4–15 Typical Low $15.14 Median $19.05 Typical High $35.48 | Facility | KJ · Rental month 4–15 | $15.14 | $19.05 | $35.48 |
Where Massachusetts sits
The same service costs 27.5 times more in Kansas than in Illinois. 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· 5th of 51
$324
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.