How much rates vary
Facilitymedian $62 · 10th to 90th $48 to $182Professionalmedian $47 · 10th to 90th $20 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 $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 $107.15 | Professional | None | $27.54 | $27.54 | $107.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $20.89 Typical High $83.18 | Professional | UE · Used equipment | $20.89 | $20.89 | $83.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $56.23 Median $60.26 Typical High $190.55 | Facility | None | $56.23 | $60.26 | $190.55 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.62 Median $5.89 Typical High $19.95 | Facility | RR · Rental | $5.62 | $5.89 | $19.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.44 Median $63.10 Typical High $63.10 | Professional | None | $23.44 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.34 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $2.34 | $6.31 | $6.31 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $46.77 Typical High $46.77 | Professional | UE · Used equipment | $17.78 | $46.77 | $46.77 |
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 $53.70 Typical High $53.70 | Professional | None | $46.77 | $53.70 | $53.70 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $4.68 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $4.68 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $39.81 Typical High $41.69 | Facility | None | $38.02 | $39.81 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $70.79 | Professional | None | $33.88 | $39.81 | $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 $19.95 Median $33.88 Typical High $58.88 | Professional | None | $19.95 | $33.88 | $58.88 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.09 Typical High $6.31 | Professional | RR · Rental | $2.04 | $3.09 | $6.31 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $22.91 Typical High $47.86 | Professional | UE · Used equipment | $15.14 | $22.91 | $47.86 |
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 $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 $56.23 Median $60.26 Typical High $190.55 | Facility | None | $56.23 | $60.26 | $190.55 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.62 Median $5.89 Typical High $19.95 | Facility | RR · Rental | $5.62 | $5.89 | $19.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.44 Median $63.10 Typical High $63.10 | Professional | None | $23.44 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.34 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $2.34 | $6.31 | $6.31 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $46.77 Typical High $46.77 | Professional | UE · Used equipment | $17.78 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $58.88 | Professional | None | $19.95 | $33.88 | $58.88 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.09 Typical High $5.89 | Professional | RR · Rental | $2.04 | $3.09 | $5.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $22.91 Typical High $44.67 | Professional | UE · Used equipment | $15.14 | $22.91 | $44.67 |
Well Sense Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $138.04 | Facility | None | $58.88 | $74.13 | $138.04 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $5.89 Median $7.41 Typical High $13.80 | Facility | RR · Rental | $5.89 | $7.41 | $13.80 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $44.67 Median $57.54 Typical High $100.00 | Facility | UE · Used equipment | $44.67 | $57.54 | $100.00 |
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 $6.92 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 $51.29 Median $51.29 Typical High $51.29 | Professional | KEUE · Bid item, non-bid base + Used equipment | $51.29 | $51.29 | $51.29 |
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 $6.46 Median $6.46 Typical High $6.46 | Professional | KURR · Bidding program group 3 + Rental | $6.46 | $6.46 | $6.46 |
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 $6.92 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 $51.29 Median $51.29 Typical High $51.29 | Professional | KEUE · Bid item, non-bid base + Used equipment | $51.29 | $51.29 | $51.29 |
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 $6.46 Median $6.46 Typical High $6.46 | Professional | KURR · Bidding program group 3 + Rental | $6.46 | $6.46 | $6.46 |
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 3.4 times more in Wisconsin than in Kansas. 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· 8th of 51
$53.70
WI $63.10KS $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.