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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,570.40 | $2,570.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,801.89 | Facility | None | $2,290.87 | $2,818.38 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $11,481.54 | Professional | None | $1,000.00 | $2,344.23 | $11,481.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $3,890.45 | Facility | None | $1,230.27 | $1,737.80 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,818.38 Typical High $5,248.07 | Facility | None | $1,258.93 | $2,818.38 | $5,248.07 |
Fallon Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,951.21 | Facility | None | $1,258.93 | $1,659.59 | $2,951.21 |
Fallon Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,288.25 | $1,659.59 | $2,041.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,122.02 | $2,089.30 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,801.89 | Facility | None | $2,290.87 | $2,818.38 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $11,481.54 | Professional | None | $1,000.00 | $2,344.23 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $3,311.31 Typical High $4,897.79 | Facility | None | $1,737.80 | $3,311.31 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $3,548.13 | Professional | None | $1,000.00 | $1,380.38 | $3,548.13 |
Well Sense Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,548.82 | Facility | None | $794.33 | $1,023.29 | $1,548.82 |
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 $1,148.15 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,148.15 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $467.74 | $512.86 | $512.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | FX · Film X-ray | $1,862.09 | $2,041.74 | $2,041.74 |
Where Massachusetts sits
The same service costs 70.8 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· 18th of 51
$1,862
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.