How much rates vary
Facilitymedian $62 · 10th to 90th $49 to $186Professionalmedian $48 · 10th to 90th $24 to $63
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 $28.18 Median $28.18 Typical High $128.82 | Facility | None | $28.18 | $28.18 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $70.79 | Professional | None | $28.18 | $28.18 | $70.79 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $60.26 | Professional | UE · Used equipment | $21.38 | $21.38 | $60.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $194.98 | Facility | None | $57.54 | $60.26 | $194.98 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.75 Median $6.03 Typical High $19.95 | Facility | RR · Rental | $5.75 | $6.03 | $19.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.99 Median $63.10 Typical High $63.10 | Professional | None | $23.99 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.40 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $2.40 | $6.31 | $6.31 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $18.20 | $47.86 | $47.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $147.91 | Facility | None | $48.98 | $48.98 | $147.91 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | None | $47.86 | $53.70 | $53.70 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $4.79 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $40.74 Typical High $42.66 | Facility | None | $37.15 | $40.74 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $70.79 | Professional | None | $34.67 | $40.74 | $70.79 |
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 $20.42 Median $34.67 Typical High $60.26 | Professional | None | $20.42 | $34.67 | $60.26 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.16 Typical High $6.46 | Professional | RR · Rental | $2.04 | $3.16 | $6.46 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $23.44 Typical High $48.98 | Professional | UE · Used equipment | $15.49 | $23.44 | $48.98 |
Health New England Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Health New England Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | RR · Rental | $2.24 | $2.24 | $2.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $194.98 | Facility | None | $57.54 | $60.26 | $194.98 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.75 Median $6.03 Typical High $19.95 | Facility | RR · Rental | $5.75 | $6.03 | $19.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.99 Median $63.10 Typical High $63.10 | Professional | None | $23.99 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.40 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $2.40 | $6.31 | $6.31 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $18.20 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $60.26 | Professional | None | $20.42 | $34.67 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.16 Typical High $6.03 | Professional | RR · Rental | $2.04 | $3.16 | $6.03 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $23.44 Typical High $44.67 | Professional | UE · Used equipment | $15.49 | $23.44 | $44.67 |
Well Sense Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $138.04 | Facility | None | $60.26 | $74.13 | $138.04 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $6.03 Median $7.59 Typical High $13.80 | Facility | RR · Rental | $6.03 | $7.59 | $13.80 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $44.67 Median $57.54 Typical High $104.71 | Facility | UE · Used equipment | $44.67 | $57.54 | $104.71 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | KENU · Bid item, non-bid base + New equipment | $69.18 | $69.18 | $69.18 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | KERR · Bid item, non-bid base + Rental | $6.92 | $6.92 | $6.92 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KEUE · Bid item, non-bid base + Used equipment | $52.48 | $52.48 | $52.48 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | KUNU · Bidding program group 3 + New equipment | $66.07 | $66.07 | $66.07 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | KURR · Bidding program group 3 + Rental | $6.61 | $6.61 | $6.61 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KUUE · Bidding program group 3 + Used equipment | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KENU · Bid item, non-bid base + New equipment | $69.18 | $69.18 | $69.18 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | KERR · Bid item, non-bid base + Rental | $6.92 | $6.92 | $6.92 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KEUE · Bid item, non-bid base + Used equipment | $52.48 | $52.48 | $52.48 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | KUNU · Bidding program group 3 + New equipment | $66.07 | $66.07 | $66.07 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | KURR · Bidding program group 3 + Rental | $6.61 | $6.61 | $6.61 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KUUE · Bidding program group 3 + Used equipment | $50.12 | $50.12 | $50.12 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $63.10 Median $79.43 Typical High $147.91 | Facility | KU · Bidding program group 3 | $63.10 | $79.43 | $147.91 |
Where Massachusetts sits
The same service costs 2.3 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· 9th of 51
$53.70
KS $70.79IL $30.90
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.