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 $74.13 Median $74.13 Typical High $281.84 | Facility | None | $74.13 | $74.13 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $102.33 | Professional | None | $74.13 | $74.13 | $102.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $21.38 Median $64.57 Typical High $75.86 | Facility | None | $21.38 | $64.57 | $75.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $18.62 Median $85.11 Typical High $645.65 | Professional | None | $18.62 | $85.11 | $645.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $87.10 | Facility | None | $27.54 | $38.90 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $151.36 Typical High $165.96 | Facility | None | $57.54 | $151.36 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $83.18 | Professional | None | $24.55 | $28.84 | $83.18 |
Fallon Health Setting Facility Modifier None Typical Low $12.30 Median $25.12 Typical High $44.67 | Facility | None | $12.30 | $25.12 | $44.67 |
Fallon Health Setting Professional Modifier None Typical Low $12.30 Median $25.12 Typical High $33.11 | Professional | None | $12.30 | $25.12 | $33.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $11.75 Median $27.54 Typical High $70.79 | Professional | None | $11.75 | $27.54 | $70.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $21.38 Median $64.57 Typical High $75.86 | Facility | None | $21.38 | $64.57 | $75.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $18.62 Median $85.11 Typical High $645.65 | Professional | None | $18.62 | $85.11 | $645.65 |
United Setting Professional Modifier None Typical Low $18.62 Median $42.66 Typical High $97.72 | Professional | None | $18.62 | $42.66 | $97.72 |
Well Sense Setting Facility Modifier None Typical Low $13.80 Median $19.05 Typical High $28.18 | Facility | None | $13.80 | $19.05 | $28.18 |
Well Sense Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | None | $69.18 | $83.18 | $83.18 |
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 $37.15 Median $37.15 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $37.15 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $20.42 | Professional | 53 · Discontinued | $14.79 | $14.79 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | FX · Film X-ray | $58.88 | $58.88 | $77.62 |
Where Massachusetts sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 20th of 51
$37.15
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.