How much rates vary
Facilitymedian $55 · 10th to 90th $44 to $162Professionalmedian $43 · 10th to 90th $21 to $55
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 $25.12 Median $25.12 Typical High $114.82 | Facility | None | $25.12 | $25.12 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $114.82 | Professional | None | $19.50 | $25.12 | $114.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $19.05 Typical High $87.10 | Professional | UE · Used equipment | $14.45 | $19.05 | $87.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $169.82 | Facility | None | $51.29 | $53.70 | $169.82 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $4.68 Median $4.79 Typical High $15.49 | Facility | RR · Rental | $4.68 | $4.79 | $15.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $21.38 Median $54.95 Typical High $54.95 | Professional | None | $21.38 | $54.95 | $54.95 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $1.91 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $1.91 | $4.90 | $4.90 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $16.22 | $41.69 | $41.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $131.83 | Facility | None | $43.65 | $43.65 | $131.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | None | $42.66 | $47.86 | $47.86 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $3.47 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $3.47 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $37.15 | Facility | None | $25.12 | $25.12 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $63.10 | Professional | None | $21.38 | $25.12 | $63.10 |
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 $18.20 Median $28.84 Typical High $52.48 | Professional | None | $18.20 | $28.84 | $52.48 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.45 Typical High $5.25 | Professional | RR · Rental | $1.58 | $2.45 | $5.25 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $20.89 Typical High $42.66 | Professional | UE · Used equipment | $13.49 | $20.89 | $42.66 |
Health New England Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Health New England Setting Professional Modifier RR · Rental Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | RR · Rental | $1.70 | $1.70 | $1.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $169.82 | Facility | None | $51.29 | $53.70 | $169.82 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $4.68 Median $4.79 Typical High $15.49 | Facility | RR · Rental | $4.68 | $4.79 | $15.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $21.38 Median $54.95 Typical High $54.95 | Professional | None | $21.38 | $54.95 | $54.95 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $1.91 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $1.91 | $4.90 | $4.90 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $16.22 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $52.48 | Professional | None | $18.20 | $28.84 | $52.48 |
United Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.45 Typical High $4.68 | Professional | RR · Rental | $1.58 | $2.45 | $4.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $20.89 Typical High $39.81 | Professional | UE · Used equipment | $13.49 | $20.89 | $39.81 |
Well Sense Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $123.03 | Facility | None | $52.48 | $66.07 | $123.03 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $39.81 Median $50.12 Typical High $91.20 | Facility | UE · Used equipment | $39.81 | $50.12 | $91.20 |
13 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 KENU · Bid item, non-bid base + New equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KENU · Bid item, non-bid base + New equipment | $61.66 | $61.66 | $61.66 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | KERR · Bid item, non-bid base + Rental | $5.25 | $5.25 | $5.25 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | KEUE · Bid item, non-bid base + Used equipment | $45.71 | $45.71 | $45.71 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | KUNU · Bidding program group 3 + New equipment | $58.88 | $58.88 | $58.88 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | KURR · Bidding program group 3 + Rental | $4.90 | $4.90 | $4.90 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KUUE · Bidding program group 3 + Used equipment | $44.67 | $44.67 | $44.67 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KENU · Bid item, non-bid base + New equipment | $61.66 | $61.66 | $61.66 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | KERR · Bid item, non-bid base + Rental | $5.25 | $5.25 | $5.25 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | KEUE · Bid item, non-bid base + Used equipment | $45.71 | $45.71 | $45.71 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | KUNU · Bidding program group 3 + New equipment | $58.88 | $58.88 | $58.88 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | KURR · Bidding program group 3 + Rental | $4.90 | $4.90 | $4.90 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KUUE · Bidding program group 3 + Used equipment | $44.67 | $44.67 | $44.67 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $56.23 Median $70.79 Typical High $131.83 | Facility | KU · Bidding program group 3 | $56.23 | $70.79 | $131.83 |
Where Massachusetts sits
The same service costs 4.8 times more in Hawaii than in New Mexico. 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· 6th of 51
$47.86
HI $117NM $24.55
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.