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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,162.28 Typical High $6,918.31 | Professional | None | $3,019.95 | $3,162.28 | $6,918.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $758.58 Median $5,623.41 Typical High $17,782.79 | Facility | None | $758.58 | $5,623.41 | $17,782.79 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $645.65 Median $691.83 Typical High $2,290.87 | Facility | RR · Rental | $645.65 | $691.83 | $2,290.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $5,623.41 | Professional | None | $2,187.76 | $5,623.41 | $5,623.41 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $245.47 Median $724.44 Typical High $724.44 | Professional | RR · Rental | $245.47 | $724.44 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $812.83 Median $977.24 Typical High $5,248.07 | Facility | None | $812.83 | $977.24 | $5,248.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4,466.84 Median $6,456.54 Typical High $6,456.54 | Professional | None | $4,466.84 | $6,456.54 | $6,456.54 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $446.68 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $446.68 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,370.32 | Facility | None | $5,128.61 | $5,128.61 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $8,317.64 | Professional | None | $4,365.16 | $5,128.61 | $8,317.64 |
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 $1,584.89 Median $2,884.03 Typical High $5,623.41 | Professional | None | $1,584.89 | $2,884.03 | $5,623.41 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $239.88 Median $354.81 Typical High $691.83 | Professional | RR · Rental | $239.88 | $354.81 | $691.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $758.58 Median $5,623.41 Typical High $17,782.79 | Facility | None | $758.58 | $5,623.41 | $17,782.79 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $645.65 Median $691.83 Typical High $2,290.87 | Facility | RR · Rental | $645.65 | $691.83 | $2,290.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $5,623.41 | Professional | None | $2,187.76 | $5,623.41 | $5,623.41 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $245.47 Median $724.44 Typical High $724.44 | Professional | RR · Rental | $245.47 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $5,623.41 | Professional | None | $1,584.89 | $2,951.21 | $5,623.41 |
United Setting Professional Modifier RR · Rental Typical Low $239.88 Median $354.81 Typical High $691.83 | Professional | RR · Rental | $239.88 | $354.81 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,344.23 Median $2,344.23 Typical High $5,128.61 | Professional | UE · Used equipment | $2,344.23 | $2,344.23 | $5,128.61 |
AllWays Health Partners Setting Professional Modifier KFRR · Class III device + Rental Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | KFRR · Class III device + Rental | $812.83 | $812.83 | $812.83 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,677.35 |
Mass General Brigham Setting Professional Modifier KFRR · Class III device + Rental Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | KFRR · Class III device + Rental | $812.83 | $812.83 | $812.83 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,677.35 |
Well Sense Setting Facility Modifier KF · Class III device Typical Low $5,888.44 Median $7,585.78 Typical High $13,803.84 | Facility | KF · Class III device | $5,888.44 | $7,585.78 | $13,803.84 |
Where Massachusetts sits
The same service costs 12.6 times more in Kansas than in Mississippi. 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· 25th of 51
$4,467
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.