How much rates vary
Facilitymedian $87 · 10th to 90th $55 to $251Professionalmedian $58 · 10th to 90th $30 to $87
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 $39.81 Median $39.81 Typical High $181.97 | Facility | None | $39.81 | $39.81 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $128.82 | Professional | None | $39.81 | $39.81 | $128.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $100.00 | Professional | UE · Used equipment | $30.20 | $30.20 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $263.03 | Facility | None | $75.86 | $81.28 | $263.03 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $7.59 Median $8.13 Typical High $27.54 | Facility | RR · Rental | $7.59 | $8.13 | $27.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $29.51 Median $87.10 Typical High $87.10 | Professional | None | $29.51 | $87.10 | $87.10 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $2.95 Median $8.71 Typical High $8.71 | Professional | RR · Rental | $2.95 | $8.71 | $8.71 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $64.57 Typical High $64.57 | Professional | UE · Used equipment | $21.88 | $64.57 | $64.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $177.83 | Facility | None | $58.88 | $58.88 | $177.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | None | $57.54 | $74.13 | $74.13 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $5.75 Median $7.41 Typical High $7.41 | Professional | RR · Rental | $5.75 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Facility | None | $46.77 | $46.77 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $93.33 | Professional | None | $39.81 | $46.77 | $93.33 |
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 $28.18 Median $44.67 Typical High $81.28 | Professional | None | $28.18 | $44.67 | $81.28 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $2.82 Median $4.47 Typical High $9.33 | Professional | RR · Rental | $2.82 | $4.47 | $9.33 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $33.11 Typical High $69.18 | Professional | UE · Used equipment | $21.38 | $33.11 | $69.18 |
Health New England Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Health New England Setting Professional Modifier RR · Rental Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | RR · Rental | $2.82 | $2.82 | $2.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $263.03 | Facility | None | $75.86 | $81.28 | $263.03 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $7.59 Median $8.13 Typical High $27.54 | Facility | RR · Rental | $7.59 | $8.13 | $27.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $29.51 Median $87.10 Typical High $87.10 | Professional | None | $29.51 | $87.10 | $87.10 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $2.95 Median $8.71 Typical High $8.71 | Professional | RR · Rental | $2.95 | $8.71 | $8.71 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $64.57 Typical High $64.57 | Professional | UE · Used equipment | $21.88 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $81.28 | Professional | None | $28.18 | $44.67 | $81.28 |
United Setting Professional Modifier RR · Rental Typical Low $2.82 Median $4.47 Typical High $8.13 | Professional | RR · Rental | $2.82 | $4.47 | $8.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $33.11 Typical High $61.66 | Professional | UE · Used equipment | $21.38 | $33.11 | $61.66 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $190.55 | Facility | None | $81.28 | $102.33 | $190.55 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $8.13 Median $10.23 Typical High $19.05 | Facility | RR · Rental | $8.13 | $10.23 | $19.05 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $61.66 Median $75.86 Typical High $141.25 | Facility | UE · Used equipment | $61.66 | $75.86 | $141.25 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | KUNU · Bidding program group 3 + New equipment | $93.33 | $93.33 | $93.33 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | KURR · Bidding program group 3 + Rental | $9.33 | $9.33 | $9.33 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | KUUE · Bidding program group 3 + Used equipment | $70.79 | $70.79 | $70.79 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | KUNU · Bidding program group 3 + New equipment | $93.33 | $93.33 | $93.33 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | KURR · Bidding program group 3 + Rental | $9.33 | $9.33 | $9.33 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | KUUE · Bidding program group 3 + Used equipment | $70.79 | $70.79 | $70.79 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $89.13 Median $114.82 Typical High $208.93 | Facility | KU · Bidding program group 3 | $89.13 | $114.82 | $208.93 |
Where Massachusetts sits
The same service costs 2.1 times more in Montana than in Arizona. 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
$74.13
MT $87.10AZ $40.74
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.