How much rates vary
Facilitymedian $117 · 10th to 90th $76 to $339Professionalmedian $89 · 10th to 90th $45 to $117
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 $61.66 Median $61.66 Typical High $281.84 | Facility | None | $61.66 | $61.66 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $281.84 | Professional | None | $61.66 | $61.66 | $281.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $208.93 | Professional | UE · Used equipment | $45.71 | $45.71 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $354.81 | Facility | None | $104.71 | $109.65 | $354.81 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $10.47 Median $10.96 Typical High $37.15 | Facility | RR · Rental | $10.47 | $10.96 | $37.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $44.67 Median $117.49 Typical High $117.49 | Professional | None | $44.67 | $117.49 | $117.49 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $4.68 Median $11.75 Typical High $11.75 | Professional | RR · Rental | $4.68 | $11.75 | $11.75 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $87.10 Typical High $87.10 | Professional | UE · Used equipment | $33.11 | $87.10 | $87.10 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $275.42 | Facility | None | $89.13 | $89.13 | $275.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | None | $89.13 | $100.00 | $100.00 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $8.71 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $8.71 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $79.43 | Facility | None | $72.44 | $74.13 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $128.82 | Professional | None | $63.10 | $74.13 | $128.82 |
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 $38.90 Median $64.57 Typical High $109.65 | Professional | None | $38.90 | $64.57 | $109.65 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $3.98 Median $6.61 Typical High $13.49 | Professional | RR · Rental | $3.98 | $6.61 | $13.49 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $48.98 Typical High $100.00 | Professional | UE · Used equipment | $29.51 | $48.98 | $100.00 |
Health New England Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Health New England Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $4.37 | $4.37 | $4.37 |
Mass General Brigham Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $354.81 | Facility | None | $104.71 | $109.65 | $354.81 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $10.47 Median $10.96 Typical High $37.15 | Facility | RR · Rental | $10.47 | $10.96 | $37.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $44.67 Median $117.49 Typical High $117.49 | Professional | None | $44.67 | $117.49 | $117.49 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $4.68 Median $11.75 Typical High $11.75 | Professional | RR · Rental | $4.68 | $11.75 | $11.75 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $87.10 Typical High $87.10 | Professional | UE · Used equipment | $33.11 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $109.65 | Professional | None | $38.90 | $64.57 | $109.65 |
United Setting Professional Modifier RR · Rental Typical Low $3.98 Median $6.61 Typical High $10.96 | Professional | RR · Rental | $3.98 | $6.61 | $10.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $48.98 Typical High $83.18 | Professional | UE · Used equipment | $29.51 | $48.98 | $83.18 |
Well Sense Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $257.04 | Facility | None | $109.65 | $144.54 | $257.04 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $10.96 Median $13.80 Typical High $25.70 | Facility | RR · Rental | $10.96 | $13.80 | $25.70 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $83.18 Median $107.15 Typical High $186.21 | Facility | UE · Used equipment | $83.18 | $107.15 | $186.21 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | KUNU · Bidding program group 3 + New equipment | $141.25 | $141.25 | $141.25 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | KURR · Bidding program group 3 + Rental | $14.79 | $14.79 | $14.79 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | KUUE · Bidding program group 3 + Used equipment | $107.15 | $107.15 | $107.15 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KUNU · Bidding program group 3 + New equipment | $141.25 | $141.25 | $141.25 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | KURR · Bidding program group 3 + Rental | $14.79 | $14.79 | $14.79 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | KUUE · Bidding program group 3 + Used equipment | $107.15 | $107.15 | $107.15 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $134.90 Median $173.78 Typical High $316.23 | Facility | KU · Bidding program group 3 | $134.90 | $173.78 | $316.23 |
Where Massachusetts sits
The same service costs 3.0 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· 11th of 51
$100
KS $182IL $60.26
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.