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 $83.18 Median $83.18 Typical High $323.59 | Facility | None | $83.18 | $83.18 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $151.36 | Professional | None | $83.18 | $83.18 | $151.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $120.23 Median $281.84 Typical High $407.38 | Facility | None | $120.23 | $281.84 | $407.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $109.65 Median $354.81 Typical High $1,862.09 | Professional | None | $109.65 | $354.81 | $1,862.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $562.34 | Facility | None | $177.83 | $251.19 | $562.34 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $263.03 | Professional | None | $120.23 | $120.23 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $436.52 Typical High $512.86 | Facility | None | $131.83 | $436.52 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $338.84 | Professional | None | $128.82 | $151.36 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $812.83 | Facility | None | $120.23 | $147.91 | $812.83 |
Fallon Health Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $181.97 | Professional | None | $125.89 | $147.91 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $112.20 Median $208.93 Typical High $338.84 | Professional | None | $112.20 | $208.93 | $338.84 |
Health New England Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Mass General Brigham Setting Facility Modifier None Typical Low $120.23 Median $281.84 Typical High $407.38 | Facility | None | $120.23 | $281.84 | $407.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $109.65 Median $354.81 Typical High $1,862.09 | Professional | None | $109.65 | $354.81 | $1,862.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $354.81 | Professional | None | $109.65 | $144.54 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $165.96 | Facility | None | $81.28 | $112.20 | $165.96 |
Well Sense Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | None | $81.28 | $97.72 | $97.72 |
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 $41.69 Median $41.69 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $41.69 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $16.60 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $123.03 | Professional | FX · Film X-ray | $66.07 | $66.07 | $123.03 |
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· 13th of 51
$162
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.