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 $56.23 Median $56.23 Typical High $213.80 | Facility | None | $56.23 | $56.23 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $177.83 | Professional | None | $56.23 | $56.23 | $177.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $186.21 Typical High $263.03 | Facility | None | $77.62 | $186.21 | $263.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $72.44 Median $234.42 Typical High $1,412.54 | Professional | None | $72.44 | $234.42 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $371.54 | Facility | None | $120.23 | $169.82 | $371.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $169.82 | Professional | None | $79.43 | $79.43 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $288.40 Typical High $346.74 | Facility | None | $87.10 | $288.40 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $223.87 | Professional | None | $83.18 | $100.00 | $223.87 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $97.72 Typical High $537.03 | Facility | None | $79.43 | $97.72 | $537.03 |
Fallon Health Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $117.49 | Professional | None | $81.28 | $97.72 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $218.78 | Professional | None | $74.13 | $138.04 | $218.78 |
Health New England Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $186.21 Typical High $263.03 | Facility | None | $77.62 | $186.21 | $263.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $72.44 Median $234.42 Typical High $1,412.54 | Professional | None | $72.44 | $234.42 | $1,412.54 |
United Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $234.42 | Professional | None | $72.44 | $95.50 | $234.42 |
Well Sense Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $109.65 | Facility | None | $52.48 | $72.44 | $109.65 |
Well Sense Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | None | $53.70 | $64.57 | $64.57 |
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 $27.54 Median $27.54 Typical High $41.69 | Professional | 52 · Reduced service | $27.54 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $16.60 | Professional | 53 · Discontinued | $11.22 | $11.22 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | FX · Film X-ray | $44.67 | $44.67 | $83.18 |
Where Massachusetts sits
The same service costs 4.2 times more in Alaska than in New York. 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· 15th 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.