How much rates vary
Facilitymedian $60 · 10th to 90th $43 to $178Professionalmedian $47 · 10th to 90th $23 to $60
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 $27.54 Median $27.54 Typical High $125.89 | Facility | None | $27.54 | $27.54 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $125.89 | Professional | None | $27.54 | $27.54 | $125.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $20.89 Typical High $95.50 | Professional | UE · Used equipment | $19.95 | $20.89 | $95.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $186.21 | Facility | None | $54.95 | $57.54 | $186.21 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.50 Median $5.75 Typical High $19.05 | Facility | RR · Rental | $5.50 | $5.75 | $19.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.44 Median $60.26 Typical High $60.26 | Professional | None | $23.44 | $60.26 | $60.26 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.34 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $2.34 | $6.03 | $6.03 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $17.78 | $45.71 | $45.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $144.54 | Facility | None | $47.86 | $47.86 | $144.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | None | $46.77 | $51.29 | $51.29 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $4.68 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $4.68 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $41.69 | Facility | None | $36.31 | $38.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $67.61 | Professional | None | $33.11 | $38.90 | $67.61 |
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 $19.50 Median $34.67 Typical High $57.54 | Professional | None | $19.50 | $34.67 | $57.54 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.09 Typical High $6.31 | Professional | RR · Rental | $2.00 | $3.09 | $6.31 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $22.91 Typical High $46.77 | Professional | UE · Used equipment | $14.79 | $22.91 | $46.77 |
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 $2.19 Median $2.19 Typical High $2.19 | Professional | RR · Rental | $2.19 | $2.19 | $2.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $186.21 | Facility | None | $54.95 | $57.54 | $186.21 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.50 Median $5.75 Typical High $19.05 | Facility | RR · Rental | $5.50 | $5.75 | $19.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.44 Median $60.26 Typical High $60.26 | Professional | None | $23.44 | $60.26 | $60.26 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.34 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $2.34 | $6.03 | $6.03 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $17.78 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $19.50 Median $34.67 Typical High $57.54 | Professional | None | $19.50 | $34.67 | $57.54 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.09 Typical High $5.75 | Professional | RR · Rental | $2.00 | $3.09 | $5.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $22.91 Typical High $42.66 | Professional | UE · Used equipment | $14.79 | $22.91 | $42.66 |
Well Sense Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $131.83 | Facility | None | $57.54 | $72.44 | $131.83 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $5.75 Median $7.08 Typical High $13.18 | Facility | RR · Rental | $5.75 | $7.08 | $13.18 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $42.66 Median $56.23 Typical High $97.72 | Facility | UE · Used equipment | $42.66 | $56.23 | $97.72 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | KENU · Bid item, non-bid base + New equipment | $67.61 | $67.61 | $67.61 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KERR · Bid item, non-bid base + Rental | $6.76 | $6.76 | $6.76 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KEUE · Bid item, non-bid base + Used equipment | $50.12 | $50.12 | $50.12 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KUNU · Bidding program group 3 + New equipment | $64.57 | $64.57 | $64.57 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | KUUE · Bidding program group 3 + Used equipment | $48.98 | $48.98 | $48.98 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KENU · Bid item, non-bid base + New equipment | $67.61 | $67.61 | $67.61 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KERR · Bid item, non-bid base + Rental | $6.76 | $6.76 | $6.76 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KEUE · Bid item, non-bid base + Used equipment | $50.12 | $50.12 | $50.12 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KUNU · Bidding program group 3 + New equipment | $64.57 | $64.57 | $64.57 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | KUUE · Bidding program group 3 + Used equipment | $48.98 | $48.98 | $48.98 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $61.66 Median $77.62 Typical High $144.54 | Facility | KU · Bidding program group 3 | $61.66 | $77.62 | $144.54 |
Where Massachusetts sits
The same service costs 2.2 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· 9th of 51
$51.29
HI $64.57NM $29.51
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.