How much rates vary
Facilitymedian $155 · 10th to 90th $89 to $437Professionalmedian $151 · 10th to 90th $78 to $708
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 $61.66 Median $61.66 Typical High $218.78 | Facility | None | $61.66 | $61.66 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $151.36 | Professional | None | $54.95 | $61.66 | $151.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $109.65 Median $281.84 Typical High $380.19 | Facility | None | $109.65 | $281.84 | $380.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $93.33 Median $323.59 Typical High $707.95 | Professional | None | $93.33 | $323.59 | $707.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $446.68 | Facility | None | $141.25 | $199.53 | $446.68 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $245.47 | Professional | None | $114.82 | $114.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $660.69 | Facility | None | $147.91 | $234.42 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $302.00 | Professional | None | $112.20 | $117.49 | $302.00 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $870.96 | Facility | None | $107.15 | $131.83 | $870.96 |
Fallon Health Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | None | $109.65 | $131.83 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $309.03 | Professional | None | $95.50 | $190.55 | $309.03 |
Health New England Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $436.52 | Facility | None | $199.53 | $323.59 | $436.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $109.65 Median $281.84 Typical High $380.19 | Facility | None | $109.65 | $281.84 | $380.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $93.33 Median $323.59 Typical High $707.95 | Professional | None | $93.33 | $323.59 | $707.95 |
Tufts Setting Facility Modifier None Typical Low $66.07 Median $165.96 Typical High $457.09 | Facility | None | $66.07 | $165.96 | $457.09 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $323.59 | Professional | None | $87.10 | $131.83 | $323.59 |
Well Sense Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $141.25 | Facility | None | $69.18 | $95.50 | $141.25 |
Well Sense Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $53.70 | Professional | None | $44.67 | $53.70 | $53.70 |
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 $30.90 Median $30.90 Typical High $52.48 | Professional | 52 · Reduced service | $30.90 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | 53 · Discontinued | $12.59 | $12.59 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | FX · Film X-ray | $50.12 | $50.12 | $91.20 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 11th of 51
$151
AK $363KY $81.28
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.