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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,949.84 | $1,949.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,148.15 | $1,819.70 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,819.70 Typical High $5,623.41 | Professional | None | $691.83 | $1,819.70 | $5,623.41 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $2,089.30 | Facility | None | $588.84 | $1,174.90 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,698.24 Typical High $6,918.31 | Facility | None | $616.60 | $1,698.24 | $6,918.31 |
Fallon Health Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,398.83 | Facility | None | $977.24 | $1,318.26 | $2,398.83 |
Fallon Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,318.26 | $1,584.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $812.83 Median $1,548.82 Typical High $2,818.38 | Professional | None | $812.83 | $1,548.82 | $2,818.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,148.15 | $1,819.70 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None Typical Low $691.83 Median $1,819.70 Typical High $5,623.41 | Professional | None | $691.83 | $1,819.70 | $5,623.41 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,445.44 Typical High $2,187.76 | Facility | None | $776.25 | $1,445.44 | $2,187.76 |
United Setting Professional Modifier None Typical Low $79.43 Median $1,047.13 Typical High $2,754.23 | Professional | None | $79.43 | $1,047.13 | $2,754.23 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $794.33 Typical High $1,202.26 | Facility | None | $676.08 | $794.33 | $1,202.26 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,511.89 | $3,019.95 | $3,019.95 |
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 $691.83 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $691.83 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $275.42 | $389.05 | $389.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,096.48 Median $1,548.82 Typical High $1,548.82 | Professional | FX · Film X-ray | $1,096.48 | $1,548.82 | $1,548.82 |
Where Massachusetts sits
The same service costs 64.6 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· 17th of 51
$1,349
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.