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 $95.50 Median $95.50 Typical High $416.87 | Facility | None | $95.50 | $95.50 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $245.47 | Professional | None | $95.50 | $95.50 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $436.52 Typical High $588.84 | Facility | None | $173.78 | $436.52 | $588.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $151.36 Median $524.81 Typical High $831.76 | Professional | None | $151.36 | $524.81 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $446.68 | Facility | None | $141.25 | $199.53 | $446.68 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $398.11 | Professional | None | $186.21 | $186.21 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $660.69 | Facility | None | $147.91 | $371.54 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $489.78 | Professional | None | $186.21 | $204.17 | $489.78 |
Fallon Health Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $1,023.29 | Facility | None | $173.78 | $213.80 | $1,023.29 |
Fallon Health Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $281.84 | Professional | None | $181.97 | $213.80 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $478.63 | Professional | None | $158.49 | $302.00 | $478.63 |
Health New England Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $446.68 | Facility | None | $251.19 | $295.12 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $436.52 Typical High $588.84 | Facility | None | $173.78 | $436.52 | $588.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $151.36 Median $524.81 Typical High $831.76 | Professional | None | $151.36 | $524.81 | $831.76 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $524.81 | Professional | None | $147.91 | $181.97 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $229.09 | Facility | None | $109.65 | $151.36 | $229.09 |
Well Sense Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | None | $93.33 | $112.20 | $112.20 |
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 $47.86 Median $47.86 Typical High $87.10 | Professional | 52 · Reduced service | $47.86 | $47.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $34.67 | Professional | 53 · Discontinued | $19.05 | $19.05 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $138.04 | Professional | FX · Film X-ray | $75.86 | $75.86 | $138.04 |
Where Massachusetts sits
The same service costs 4.1 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· 9th of 51
$234
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.