How much rates vary
Facilitymedian $23 · 10th to 90th $18 to $74Professionalmedian $17 · 10th to 90th $9 to $24
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 $10.23 Median $10.23 Typical High $46.77 | Facility | None | $10.23 | $10.23 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $46.77 | Professional | None | $9.77 | $10.23 | $46.77 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.78 Median $1.02 Typical High $3.98 | Professional | RR · Rental | $0.78 | $1.02 | $3.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.76 Typical High $32.36 | Professional | UE · Used equipment | $7.41 | $7.76 | $32.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $21.38 Median $22.91 Typical High $74.13 | Facility | None | $21.38 | $22.91 | $74.13 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $2.14 Median $2.29 Typical High $7.59 | Facility | RR · Rental | $2.14 | $2.29 | $7.59 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.71 Median $23.99 Typical High $23.99 | Professional | None | $8.71 | $23.99 | $23.99 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $0.87 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $0.87 | $2.40 | $2.40 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $6.61 | $17.78 | $17.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $53.70 | Facility | None | $17.78 | $17.78 | $53.70 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | None | $17.38 | $20.42 | $20.42 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $1.74 Median $2.04 Typical High $2.04 | Professional | RR · Rental | $1.74 | $2.04 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $26.30 | Professional | None | $12.88 | $15.14 | $26.30 |
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 $7.59 Median $12.59 Typical High $22.91 | Professional | None | $7.59 | $12.59 | $22.91 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $0.76 Median $1.15 Typical High $2.40 | Professional | RR · Rental | $0.76 | $1.15 | $2.40 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $5.75 Median $8.71 Typical High $18.20 | Professional | UE · Used equipment | $5.75 | $8.71 | $18.20 |
Health New England Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Health New England Setting Professional Modifier RR · Rental Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | RR · Rental | $0.81 | $0.81 | $0.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $21.38 Median $22.91 Typical High $74.13 | Facility | None | $21.38 | $22.91 | $74.13 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $2.14 Median $2.29 Typical High $7.59 | Facility | RR · Rental | $2.14 | $2.29 | $7.59 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.71 Median $23.99 Typical High $23.99 | Professional | None | $8.71 | $23.99 | $23.99 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $0.87 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $0.87 | $2.40 | $2.40 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $6.61 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $22.91 | Professional | None | $7.59 | $12.59 | $22.91 |
United Setting Professional Modifier RR · Rental Typical Low $0.76 Median $1.15 Typical High $2.29 | Professional | RR · Rental | $0.76 | $1.15 | $2.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.75 Median $8.71 Typical High $16.98 | Professional | UE · Used equipment | $5.75 | $8.71 | $16.98 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $52.48 | Facility | None | $22.91 | $29.51 | $52.48 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $2.29 Median $2.95 Typical High $5.25 | Facility | RR · Rental | $2.29 | $2.95 | $5.25 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $16.98 Median $22.39 Typical High $38.90 | Facility | UE · Used equipment | $16.98 | $22.39 | $38.90 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | KENU · Bid item, non-bid base + New equipment | $25.70 | $25.70 | $25.70 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | KERR · Bid item, non-bid base + Rental | $2.57 | $2.57 | $2.57 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | KEUE · Bid item, non-bid base + Used equipment | $19.50 | $19.50 | $19.50 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KUNU · Bidding program group 3 + New equipment | $23.99 | $23.99 | $23.99 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | KURR · Bidding program group 3 + Rental | $2.40 | $2.40 | $2.40 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | KUUE · Bidding program group 3 + Used equipment | $18.20 | $18.20 | $18.20 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | KENU · Bid item, non-bid base + New equipment | $25.70 | $25.70 | $25.70 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | KERR · Bid item, non-bid base + Rental | $2.57 | $2.57 | $2.57 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | KEUE · Bid item, non-bid base + Used equipment | $19.50 | $19.50 | $19.50 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KUNU · Bidding program group 3 + New equipment | $23.99 | $23.99 | $23.99 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | KURR · Bidding program group 3 + Rental | $2.40 | $2.40 | $2.40 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | KUUE · Bidding program group 3 + Used equipment | $18.20 | $18.20 | $18.20 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $23.44 Median $30.20 Typical High $53.70 | Facility | KU · Bidding program group 3 | $23.44 | $30.20 | $53.70 |
Where Massachusetts sits
The same service costs 2.3 times more in Kansas 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
$20.42
KS $24.55NM $10.72
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.