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Massachusetts

Cost of a Lower Back MRI Visit
in Massachusetts

Reviewed by Momentary Medical Group West PC

Massachusetts ranks among the top five states for healthcare spending per capita, with specialized imaging services like Lower Back MRI reflecting this premium market. Based on negotiated insurance rates from 1,481 active providers statewide, patients typically pay between $74 and $590 for lumbar spine imaging, with a median cost of $368. The Bay State's robust network of academic medical centers and community hospitals means patients have access to numerous Lower Back MRI specialists across urban and rural regions alike.

Average

$344

Median

$368

Lowest

$74

Highest

$590

Providers

1,481

National avg: $383Massachusetts: $344

10% below national average

Compare Similar Procedures

How does mri lumbar spine compare to related procedures in Massachusetts?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$90$552$1,0601,770
MRI Knee

MRI of the knee without contrast

73721$70$327$5901,753
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$80$299$8961,427
CT Chest

CT scan of the chest with contrast

71260$64$171$4541,801

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 72148MRI lumbar spine without contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 72148 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 72148 (MRI lumbar spine without contrast), as mandated by the CMS Price Transparency Rule.

What CPT 72148 covers: the provider's professional fee for mri lumbar spine. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Lower Back MRI Visit Costs Vary Across Massachusetts

Massachusetts healthcare costs run approximately 20% above the national average, driven by the state's concentration of prestigious academic medical centers and high cost of living in the Greater Boston area. This premium pricing extends to diagnostic imaging, where Lower Back MRI rates reflect both advanced technology investments and higher operational costs.

Urban vs. Rural Provider Availability

Greater Boston hosts numerous high-end imaging facilities affiliated with world-renowned hospitals, while Western Massachusetts and Cape Cod rely more heavily on community hospitals and independent imaging centers. This geographic distribution creates cost disparities, with rural patients sometimes traveling to urban areas for specialized lumbar spine imaging despite higher prices.

Facility Type and Overhead Costs

Hospital-based outpatient imaging at Mass General Brigham, Beth Israel Lahey, or other major health systems typically costs 50-80% more than independent imaging centers due to higher overhead and facility fees. Academic medical centers justify premium pricing through access to latest MRI technology and subspecialty radiologists, but many routine Lower Back MRI studies can be performed effectively at lower-cost community facilities.

Insurance Market Competition in Massachusetts

The state's insurance market is dominated by BCBS MA, Tufts Health Plan, and Harvard Pilgrim, creating a relatively concentrated marketplace where insurers have significant negotiating power with providers. This concentration can lead to favorable negotiated rates for common services like Lower Back MRI, though premium providers still command higher reimbursements.

Physician Supply and Demand in Massachusetts

With 1,481 active Lower Back MRI providers serving approximately 7 million residents, Massachusetts has above-average radiologist density compared to most states. This robust supply helps moderate pricing in competitive markets like Boston, though wait times for non-urgent imaging can still extend 1-2 weeks during peak demand periods.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Lower Back MRI Costs in Massachusetts

What is the average cost of a Lower Back MRI visit in Massachusetts without insurance?

Uninsured patients in Massachusetts typically pay between $74 and $590 for Lower Back MRI, with a median cost of $368 based on negotiated insurance rates from 1,481 providers statewide. Many imaging centers offer cash-pay discounts of 20-40% off standard rates, potentially reducing costs for self-pay patients. Independent imaging centers generally charge less than hospital-based facilities for the same study.

Does Massachusetts Medicaid cover Lower Back MRI visits?

Yes, Massachusetts Medicaid covers medically necessary Lower Back MRI when properly authorized by a physician. As a Medicaid expansion state, Massachusetts provides comprehensive coverage for diagnostic imaging through MassHealth, though prior authorization may be required. Patients should confirm their provider accepts MassHealth before scheduling to avoid unexpected costs.

How do I find an affordable Lower Back MRI near me in Massachusetts?

Compare prices across different facility types, as independent imaging centers often charge 40-60% less than hospital-based facilities. Look for community health centers or imaging chains that offer transparent pricing and cash-pay discounts. Consider traveling outside Greater Boston to areas like Worcester or Springfield where overhead costs may be lower.

What is the difference in cost between an initial consultation and a follow-up visit?

Lower Back MRI is typically an imaging study rather than a consultation visit, with costs ranging from $74 to $590 regardless of whether it's your first or follow-up scan. The radiologist's interpretation is included in the imaging fee, though you may have separate costs for the referring physician's consultation before or after the scan.

Can I use an HSA or FSA to pay for a Lower Back MRI visit in Massachusetts?

Yes, Lower Back MRI ordered by a physician qualifies as a medical expense eligible for HSA or FSA reimbursement. Keep all receipts and documentation from your imaging appointment, as these accounts require proper medical expense verification. This can help reduce your out-of-pocket costs by using pre-tax dollars.

How does telemedicine affect the cost of seeing a Lower Back MRI in Massachusetts?

While the actual MRI scan must be performed in person, many Massachusetts providers offer telehealth consultations to review results and discuss treatment options, potentially reducing overall care costs. Telehealth follow-up visits typically cost $50-150 less than in-person appointments and may be more convenient for routine result discussions.

Click a state to compare costs

Average Visit Cost

$181
$1,925

Office visit (CPT 72148)

Compare With Other States

RankStateAverage
1Alaska
Range: $73$2,851
$1,925
2Montana
Range: $73$2,851
$1,097
3Washington
Range: $65$2,851
$1,095
4Idaho
Range: $65$2,851
$1,068
5North Dakota
Range: $145$2,450
$987
6Minnesota
Range: $88$2,450
$969
7Wisconsin
Range: $73$1,477
$577
8Georgia
Range: $69$949
$416
9Nevada
Range: $102$750
$400
10Hawaii
Range: $85$577
$373
11Louisiana
Range: $60$702
$372
12Massachusetts
Range: $74$590
$344
13Maine
Range: $116$659
$344
14New Mexico
Range: $62$720
$323
15Wyoming
Range: $65$663
$320
16Nebraska
Range: $129$477
$310
17Colorado
Range: $65$663
$305
18Oregon
Range: $88$447
$301
19Utah
Range: $65$603
$298
20South Dakota
Range: $142$368
$293
21West Virginia
Range: $79$418
$289
22New Hampshire
Range: $85$579
$288
23North Carolina
Range: $72$572
$285
24Iowa
Range: $85$513
$284
25Illinois
Range: $76$553
$271
26Indiana
Range: $64$554
$269
27Vermont
Range: $63$583
$267
28Rhode Island
Range: $65$527
$261
29District of Columbia
Range: $59$527
$259
30Michigan
Range: $67$527
$258
31Tennessee
Range: $72$499
$253
32Virginia
Range: $49$553
$253
33Kentucky
Range: $64$516
$249
34Kansas
Range: $71$502
$244
35New York
Range: $53$529
$243
36Pennsylvania
Range: $55$527
$238
37South Carolina
Range: $63$465
$229
38Alabama
Range: $59$452
$223
39Oklahoma
Range: $61$473
$222
40Texas
Range: $65$447
$220
41New Jersey
Range: $52$459
$218
42Missouri
Range: $76$415
$218
43Maryland
Range: $29$447
$217
44Ohio
Range: $49$457
$214
45California
Range: $72$470
$213
46Mississippi
Range: $58$447
$213
47Delaware
Range: $66$363
$211
48Connecticut
Range: $55$456
$206
49Arkansas
Range: $72$380
$205
50Florida
Range: $35$473
$189
51Arizona
Range: $65$356
$181
MRI Lumbar Spine in Other States