How much rates vary
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 $60.26 Median $60.26 Typical High $275.42 | Facility | None | $60.26 | $60.26 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $275.42 | Professional | None | $39.81 | $60.26 | $275.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $45.71 Typical High $208.93 | Professional | UE · Used equipment | $43.65 | $45.71 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $389.05 | Facility | None | $109.65 | $120.23 | $389.05 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $10.96 Median $12.02 Typical High $39.81 | Facility | RR · Rental | $10.96 | $12.02 | $39.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $44.67 Median $125.89 Typical High $125.89 | Professional | None | $44.67 | $125.89 | $125.89 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $4.47 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $4.47 | $12.59 | $12.59 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $33.11 | $95.50 | $95.50 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $269.15 | Facility | None | $89.13 | $89.13 | $269.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $107.15 | Professional | None | $87.10 | $107.15 | $107.15 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $8.71 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $8.71 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $79.43 | Facility | None | $67.61 | $77.62 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $138.04 | Professional | None | $66.07 | $77.62 | $138.04 |
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 $41.69 Median $66.07 Typical High $120.23 | Professional | None | $41.69 | $66.07 | $120.23 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $4.17 Median $6.61 Typical High $13.80 | Professional | RR · Rental | $4.17 | $6.61 | $13.80 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $50.12 Typical High $102.33 | Professional | UE · Used equipment | $30.90 | $50.12 | $102.33 |
Health New England Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Health New England Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | RR · Rental | $5.50 | $5.50 | $5.50 |
Mass General Brigham Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $389.05 | Facility | None | $109.65 | $120.23 | $389.05 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $10.96 Median $12.02 Typical High $39.81 | Facility | RR · Rental | $10.96 | $12.02 | $39.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $44.67 Median $125.89 Typical High $125.89 | Professional | None | $44.67 | $125.89 | $125.89 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $4.47 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $4.47 | $12.59 | $12.59 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $33.11 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $120.23 | Professional | None | $41.69 | $66.07 | $120.23 |
United Setting Professional Modifier RR · Rental Typical Low $4.17 Median $6.61 Typical High $12.02 | Professional | RR · Rental | $4.17 | $6.61 | $12.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $50.12 Typical High $89.13 | Professional | UE · Used equipment | $30.90 | $50.12 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $275.42 | Facility | None | $120.23 | $147.91 | $275.42 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $12.02 Median $15.49 Typical High $27.54 | Facility | RR · Rental | $12.02 | $15.49 | $27.54 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $89.13 Median $114.82 Typical High $204.17 | Facility | UE · Used equipment | $89.13 | $114.82 | $204.17 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | KURR · Bidding program group 3 + Rental | $14.13 | $14.13 | $14.13 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | KURR · Bidding program group 3 + Rental | $14.13 | $14.13 | $14.13 |
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 2.8 times more in Kansas than in New Mexico. 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· 10th of 51
$107
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.