How much rates vary
Facilitymedian $83 · 10th to 90th $55 to $151Professionalmedian $50 · 10th to 90th $25 to $69
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 $29.51 Median $29.51 Typical High $134.90 | Facility | None | $29.51 | $29.51 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $134.90 | Professional | None | $28.84 | $29.51 | $134.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $22.39 Typical High $102.33 | Professional | UE · Used equipment | $21.38 | $22.39 | $102.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $208.93 | Facility | None | $63.10 | $66.07 | $208.93 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $6.31 Median $6.46 Typical High $21.88 | Facility | RR · Rental | $6.31 | $6.46 | $21.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $25.12 Median $69.18 Typical High $69.18 | Professional | None | $25.12 | $69.18 | $69.18 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.57 Median $6.92 Typical High $6.92 | Professional | RR · Rental | $2.57 | $6.92 | $6.92 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $19.05 | $51.29 | $51.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $134.90 | Facility | None | $77.62 | $100.00 | $134.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | None | $50.12 | $58.88 | $58.88 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.13 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $45.71 | Facility | None | $39.81 | $44.67 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $79.43 | Professional | None | $38.02 | $44.67 | $79.43 |
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 $21.88 Median $33.88 Typical High $64.57 | Professional | None | $21.88 | $33.88 | $64.57 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.39 Typical High $6.92 | Professional | RR · Rental | $2.24 | $3.39 | $6.92 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $25.12 Typical High $51.29 | Professional | UE · Used equipment | $16.60 | $25.12 | $51.29 |
Health New England Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Health New England Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | RR · Rental | $3.31 | $3.31 | $3.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $208.93 | Facility | None | $63.10 | $66.07 | $208.93 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $6.31 Median $6.46 Typical High $21.88 | Facility | RR · Rental | $6.31 | $6.46 | $21.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $25.12 Median $69.18 Typical High $69.18 | Professional | None | $25.12 | $69.18 | $69.18 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.57 Median $6.92 Typical High $6.92 | Professional | RR · Rental | $2.57 | $6.92 | $6.92 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $19.05 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $64.57 | Professional | None | $21.88 | $33.88 | $64.57 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.39 Typical High $6.46 | Professional | RR · Rental | $2.24 | $3.39 | $6.46 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $25.12 Typical High $48.98 | Professional | UE · Used equipment | $16.60 | $25.12 | $48.98 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $151.36 | Facility | None | $64.57 | $85.11 | $151.36 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $6.46 Median $8.13 Typical High $15.14 | Facility | RR · Rental | $6.46 | $8.13 | $15.14 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $48.98 Median $63.10 Typical High $109.65 | Facility | UE · Used equipment | $48.98 | $63.10 | $109.65 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | KENU · Bid item, non-bid base + New equipment | $74.13 | $74.13 | $74.13 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | KERR · Bid item, non-bid base + Rental | $7.59 | $7.59 | $7.59 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | KEUE · Bid item, non-bid base + Used equipment | $56.23 | $56.23 | $56.23 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KUNU · Bidding program group 3 + New equipment | $69.18 | $69.18 | $69.18 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | KURR · Bidding program group 3 + Rental | $7.08 | $7.08 | $7.08 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KUUE · Bidding program group 3 + Used equipment | $52.48 | $52.48 | $52.48 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | KENU · Bid item, non-bid base + New equipment | $74.13 | $74.13 | $74.13 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | KERR · Bid item, non-bid base + Rental | $7.59 | $7.59 | $7.59 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | KEUE · Bid item, non-bid base + Used equipment | $56.23 | $56.23 | $56.23 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KUNU · Bidding program group 3 + New equipment | $69.18 | $69.18 | $69.18 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | KURR · Bidding program group 3 + Rental | $7.08 | $7.08 | $7.08 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KUUE · Bidding program group 3 + Used equipment | $52.48 | $52.48 | $52.48 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $66.07 Median $83.18 Typical High $154.88 | Facility | KU · Bidding program group 3 | $66.07 | $83.18 | $154.88 |
Where Massachusetts sits
The same service costs 3.8 times more in Hawaii 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· 4th of 51
$58.88
HI $123IL $32.36
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.