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 $120.23 Median $120.23 Typical High $478.63 | Facility | None | $120.23 | $120.23 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $389.05 | Professional | None | $120.23 | $138.04 | $389.05 |
AllWays Health Partners Setting Facility Modifier None Typical Low $190.55 Median $446.68 Typical High $630.96 | Facility | None | $190.55 | $446.68 | $630.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $169.82 Median $549.54 Typical High $2,511.89 | Professional | None | $169.82 | $549.54 | $2,511.89 |
BCBS Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $870.96 | Facility | None | $281.84 | $398.11 | $870.96 |
BCBS Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $407.38 | Professional | None | $190.55 | $190.55 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $645.65 Typical High $776.25 | Facility | None | $194.98 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $537.03 | Professional | None | $199.53 | $234.42 | $537.03 |
Fallon Health Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $1,202.26 | Facility | None | $190.55 | $234.42 | $1,202.26 |
Fallon Health Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $288.40 | Professional | None | $194.98 | $234.42 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $173.78 Median $331.13 Typical High $524.81 | Professional | None | $173.78 | $331.13 | $524.81 |
Health New England Setting Professional Modifier None Typical Low $144.54 Median $309.03 Typical High $346.74 | Professional | None | $144.54 | $309.03 | $346.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $446.68 Typical High $630.96 | Facility | None | $190.55 | $446.68 | $630.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $169.82 Median $549.54 Typical High $2,511.89 | Professional | None | $169.82 | $549.54 | $2,511.89 |
Tufts Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $316.23 | Professional | None | $128.82 | $177.83 | $316.23 |
United Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $549.54 | Professional | None | $165.96 | $223.87 | $549.54 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Facility | None | $125.89 | $173.78 | $257.04 |
Well Sense Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | None | $120.23 | $144.54 | $144.54 |
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 $60.26 Median $60.26 Typical High $102.33 | Professional | 52 · Reduced service | $60.26 | $60.26 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $23.99 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $177.83 | Professional | FX · Film X-ray | $95.50 | $95.50 | $177.83 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$257
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.