How much rates vary
Facilitymedian $41 · 10th to 90th $31 to $112Professionalmedian $32 · 10th to 90th $16 to $39
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 $19.05 Median $19.05 Typical High $87.10 | Facility | None | $19.05 | $19.05 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $87.10 | Professional | None | $19.05 | $19.05 | $87.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $14.45 Typical High $85.11 | Professional | UE · Used equipment | $14.45 | $14.45 | $85.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $120.23 | Facility | None | $34.67 | $38.90 | $120.23 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $3.55 Median $3.72 Typical High $12.30 | Facility | RR · Rental | $3.55 | $3.72 | $12.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.22 Median $38.90 Typical High $38.90 | Professional | None | $16.22 | $38.90 | $38.90 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $1.62 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $1.62 | $3.89 | $3.89 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $12.30 | $28.84 | $28.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $100.00 | Facility | None | $33.11 | $33.11 | $100.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | None | $32.36 | $33.11 | $33.11 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.31 Typical High $3.31 | Professional | RR · Rental | $3.24 | $3.31 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $28.18 | Facility | None | $25.12 | $25.12 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $44.67 | Professional | None | $21.38 | $25.12 | $44.67 |
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 $12.88 Median $21.88 Typical High $37.15 | Professional | None | $12.88 | $21.88 | $37.15 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.29 Median $2.04 Typical High $4.17 | Professional | RR · Rental | $1.29 | $2.04 | $4.17 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $15.14 Typical High $31.62 | Professional | UE · Used equipment | $9.77 | $15.14 | $31.62 |
Health New England Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Health New England Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $1.38 | $1.38 | $1.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $120.23 | Facility | None | $34.67 | $38.90 | $120.23 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $3.55 Median $3.72 Typical High $12.30 | Facility | RR · Rental | $3.55 | $3.72 | $12.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.22 Median $38.90 Typical High $38.90 | Professional | None | $16.22 | $38.90 | $38.90 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $1.62 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $1.62 | $3.89 | $3.89 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $12.30 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $37.15 | Professional | None | $12.88 | $21.88 | $37.15 |
United Setting Professional Modifier RR · Rental Typical Low $1.29 Median $2.04 Typical High $3.72 | Professional | RR · Rental | $1.29 | $2.04 | $3.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $15.14 Typical High $27.54 | Professional | UE · Used equipment | $9.77 | $15.14 | $27.54 |
Well Sense Setting Facility Modifier None Typical Low $37.15 Median $45.71 Typical High $85.11 | Facility | None | $37.15 | $45.71 | $85.11 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $3.72 Median $4.57 Typical High $8.51 | Facility | RR · Rental | $3.72 | $4.57 | $8.51 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $27.54 Median $34.67 Typical High $64.57 | Facility | UE · Used equipment | $27.54 | $34.67 | $64.57 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | KENU · Bid item, non-bid base + New equipment | $44.67 | $44.67 | $44.67 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | KERR · Bid item, non-bid base + Rental | $4.47 | $4.47 | $4.47 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KEUE · Bid item, non-bid base + Used equipment | $33.88 | $33.88 | $33.88 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KUNU · Bidding program group 3 + New equipment | $44.67 | $44.67 | $44.67 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | KURR · Bidding program group 3 + Rental | $4.47 | $4.47 | $4.47 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KUUE · Bidding program group 3 + Used equipment | $33.88 | $33.88 | $33.88 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KENU · Bid item, non-bid base + New equipment | $44.67 | $44.67 | $44.67 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | KERR · Bid item, non-bid base + Rental | $4.47 | $4.47 | $4.47 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KEUE · Bid item, non-bid base + Used equipment | $33.88 | $33.88 | $33.88 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KUNU · Bidding program group 3 + New equipment | $44.67 | $44.67 | $44.67 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | KURR · Bidding program group 3 + Rental | $4.47 | $4.47 | $4.47 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KUUE · Bidding program group 3 + Used equipment | $33.88 | $33.88 | $33.88 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $42.66 Median $54.95 Typical High $100.00 | Facility | KU · Bidding program group 3 | $42.66 | $54.95 | $100.00 |
Where Massachusetts sits
The same service costs 2.1 times more in Wisconsin 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· 10th of 51
$33.11
WI $38.90NM $18.62
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.