How much rates vary
Facilitymedian $59 · 10th to 90th $40 to $174Professionalmedian $39 · 10th to 90th $20 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 $26.92 Median $26.92 Typical High $123.03 | Facility | None | $26.92 | $26.92 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $89.13 | Professional | None | $26.92 | $26.92 | $89.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $72.44 | Professional | UE · Used equipment | $20.42 | $20.42 | $72.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $56.23 Typical High $181.97 | Facility | None | $52.48 | $56.23 | $181.97 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $5.25 Median $5.62 Typical High $19.05 | Facility | RR · Rental | $5.25 | $5.62 | $19.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $19.95 Median $60.26 Typical High $60.26 | Professional | None | $19.95 | $60.26 | $60.26 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.00 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $2.00 | $6.03 | $6.03 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $14.79 | $44.67 | $44.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $120.23 | Facility | None | $39.81 | $39.81 | $120.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $51.29 | Professional | None | $38.90 | $51.29 | $51.29 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $3.89 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $3.89 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $36.31 Typical High $36.31 | Facility | None | $32.36 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $67.61 | Professional | None | $30.90 | $36.31 | $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 $30.20 Typical High $56.23 | Professional | None | $19.50 | $30.20 | $56.23 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.02 Typical High $6.31 | Professional | RR · Rental | $1.95 | $3.02 | $6.31 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $22.91 Typical High $47.86 | Professional | UE · Used equipment | $14.45 | $22.91 | $47.86 |
Health New England Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $56.23 Typical High $181.97 | Facility | None | $52.48 | $56.23 | $181.97 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $5.25 Median $5.62 Typical High $19.05 | Facility | RR · Rental | $5.25 | $5.62 | $19.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $19.95 Median $60.26 Typical High $60.26 | Professional | None | $19.95 | $60.26 | $60.26 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.00 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $2.00 | $6.03 | $6.03 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $14.79 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $56.23 | Professional | None | $19.50 | $30.20 | $56.23 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.02 Typical High $5.62 | Professional | RR · Rental | $1.95 | $3.02 | $5.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $22.91 Typical High $42.66 | Professional | UE · Used equipment | $14.45 | $22.91 | $42.66 |
Well Sense Setting Facility Modifier None Typical Low $56.23 Median $70.79 Typical High $131.83 | Facility | None | $56.23 | $70.79 | $131.83 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $5.62 Median $7.08 Typical High $13.18 | Facility | RR · Rental | $5.62 | $7.08 | $13.18 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $42.66 Median $53.70 Typical High $97.72 | Facility | UE · Used equipment | $42.66 | $53.70 | $97.72 |
7 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 KUNU · Bidding program group 3 + New equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KUNU · Bidding program group 3 + New equipment | $63.10 | $63.10 | $63.10 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | KURR · Bidding program group 3 + Rental | $6.31 | $6.31 | $6.31 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $47.86 | $47.86 | $47.86 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KUNU · Bidding program group 3 + New equipment | $63.10 | $63.10 | $63.10 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | KURR · Bidding program group 3 + Rental | $6.31 | $6.31 | $6.31 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | KUUE · Bidding program group 3 + Used equipment | $47.86 | $47.86 | $47.86 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $60.26 Median $75.86 Typical High $141.25 | Facility | KU · Bidding program group 3 | $60.26 | $75.86 | $141.25 |
Where Massachusetts sits
The same service costs 2.6 times more in Kansas 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· 8th of 51
$51.29
KS $74.13IL $28.18
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.