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 $302.00 Median $302.00 Typical High $1,202.26 | Facility | None | $302.00 | $302.00 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $588.84 | Professional | None | $302.00 | $302.00 | $588.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $478.63 Median $1,148.15 Typical High $1,584.89 | Facility | None | $478.63 | $1,148.15 | $1,584.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $426.58 Median $1,380.38 Typical High $15,488.17 | Professional | None | $426.58 | $1,380.38 | $15,488.17 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $1,000.00 Typical High $2,187.76 | Facility | None | $707.95 | $1,000.00 | $2,187.76 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,023.29 | Professional | None | $478.63 | $478.63 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $51,286.14 Typical High $61,659.50 | Facility | None | $489.78 | $51,286.14 | $61,659.50 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,348.96 | Professional | None | $501.19 | $588.84 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $2,630.27 | Facility | None | $478.63 | $588.84 | $2,630.27 |
Fallon Health Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $724.44 | Professional | None | $501.19 | $588.84 | $724.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $436.52 Median $831.76 Typical High $1,348.96 | Professional | None | $436.52 | $831.76 | $1,348.96 |
Health New England Setting Professional Modifier None Typical Low $363.08 Median $691.83 Typical High $870.96 | Professional | None | $363.08 | $691.83 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $478.63 Median $1,148.15 Typical High $1,584.89 | Facility | None | $478.63 | $1,148.15 | $1,584.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $426.58 Median $1,380.38 Typical High $15,488.17 | Professional | None | $426.58 | $1,380.38 | $15,488.17 |
United Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $1,380.38 | Professional | None | $416.87 | $575.44 | $1,380.38 |
Well Sense Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $645.65 | Facility | None | $316.23 | $436.52 | $645.65 |
Well Sense Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $363.08 | Professional | None | $309.03 | $363.08 | $363.08 |
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 $151.36 Median $151.36 Typical High $194.98 | Professional | 52 · Reduced service | $151.36 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | 53 · Discontinued | $60.26 | $60.26 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $245.47 Typical High $309.03 | Professional | FX · Film X-ray | $239.88 | $245.47 | $309.03 |
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· 16th of 51
$617
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.