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 $51.29 Median $51.29 Typical High $575.44 | Facility | None | $51.29 | $51.29 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $128.82 | Professional | None | $51.29 | $51.29 | $128.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $162.18 Typical High $1,148.15 | Facility | None | $64.57 | $162.18 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $61.66 Median $204.17 Typical High $2,884.03 | Professional | None | $61.66 | $204.17 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $870.96 | Facility | None | $436.52 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $3,090.30 | Facility | None | $389.05 | $724.44 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $213.80 | Professional | None | $72.44 | $74.13 | $213.80 |
Fallon Health Setting Facility Modifier None Typical Low $20.42 Median $61.66 Typical High $83.18 | Facility | None | $20.42 | $61.66 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $20.42 Median $64.57 Typical High $81.28 | Professional | None | $20.42 | $64.57 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $229.09 | Professional | None | $60.26 | $104.71 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $162.18 Typical High $1,148.15 | Facility | None | $64.57 | $162.18 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $61.66 Median $204.17 Typical High $2,884.03 | Professional | None | $61.66 | $204.17 | $2,884.03 |
United Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $1,380.38 | Facility | None | $489.78 | $933.25 | $1,380.38 |
United Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $234.42 | Professional | None | $61.66 | $83.18 | $234.42 |
Well Sense Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $89.13 | Facility | None | $42.66 | $60.26 | $89.13 |
Well Sense Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | None | $128.82 | $128.82 | $154.88 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $63.10 | Professional | 52 · Reduced service | $25.70 | $25.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $25.70 | Professional | 53 · Discontinued | $10.23 | $10.23 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $102.33 | Professional | FX · Film X-ray | $41.69 | $41.69 | $102.33 |
Where Massachusetts sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 24th of 51
$97.72
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.