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 $95.50 Median $95.50 Typical High $436.52 | Facility | None | $95.50 | $95.50 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $213.80 | Professional | None | $74.13 | $95.50 | $213.80 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $72.44 Typical High $165.96 | Professional | UE · Used equipment | $69.18 | $72.44 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $20.89 Median $138.04 Typical High $389.05 | Facility | None | $20.89 | $138.04 | $389.05 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $14.45 Median $15.85 Typical High $48.98 | Facility | RR · Rental | $14.45 | $15.85 | $48.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $165.96 | Professional | None | $72.44 | $144.54 | $165.96 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $8.13 Median $15.49 Typical High $16.22 | Professional | RR · Rental | $8.13 | $15.49 | $16.22 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $109.65 Typical High $123.03 | Professional | UE · Used equipment | $57.54 | $109.65 | $123.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $501.19 | Facility | None | $162.18 | $162.18 | $501.19 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None | $131.83 | $131.83 | $158.49 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | RR · Rental | $13.18 | $13.18 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $138.04 | Facility | None | $64.57 | $64.57 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $204.17 | Professional | None | $54.95 | $64.57 | $204.17 |
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 $57.54 Median $104.71 Typical High $181.97 | Professional | None | $57.54 | $104.71 | $181.97 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $5.50 Median $10.23 Typical High $20.89 | Professional | RR · Rental | $5.50 | $10.23 | $20.89 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $66.07 Typical High $134.90 | Professional | UE · Used equipment | $43.65 | $66.07 | $134.90 |
Health New England Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Health New England Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $10.72 | $10.72 | $10.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $20.89 Median $138.04 Typical High $389.05 | Facility | None | $20.89 | $138.04 | $389.05 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $14.45 Median $15.85 Typical High $48.98 | Facility | RR · Rental | $14.45 | $15.85 | $48.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $165.96 | Professional | None | $72.44 | $144.54 | $165.96 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $8.13 Median $15.49 Typical High $16.22 | Professional | RR · Rental | $8.13 | $15.49 | $16.22 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $109.65 Typical High $123.03 | Professional | UE · Used equipment | $57.54 | $109.65 | $123.03 |
United Setting Professional Modifier None Typical Low $57.54 Median $104.71 Typical High $181.97 | Professional | None | $57.54 | $104.71 | $181.97 |
United Setting Professional Modifier RR · Rental Typical Low $5.50 Median $10.23 Typical High $18.20 | Professional | RR · Rental | $5.50 | $10.23 | $18.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $66.07 Typical High $134.90 | Professional | UE · Used equipment | $43.65 | $66.07 | $134.90 |
Well Sense Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $190.55 | Facility | None | $38.02 | $38.02 | $190.55 |
5 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 KERR · Bid item, non-bid base + Rental Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | KERR · Bid item, non-bid base + Rental | $22.39 | $22.39 | $22.39 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | KURR · Bidding program group 3 + Rental | $22.39 | $22.39 | $22.39 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | KERR · Bid item, non-bid base + Rental | $22.39 | $22.39 | $22.39 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | KURR · Bidding program group 3 + Rental | $22.39 | $22.39 | $22.39 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $123.03 Median $162.18 Typical High $288.40 | Facility | KU · Bidding program group 3 | $123.03 | $162.18 | $288.40 |
Where Massachusetts sits
The same service costs 5.1 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· 14th of 51
$141
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.