How much rates vary
Facilitymedian $631 · 10th to 90th $204 to $3,090Professionalmedian $631 · 10th to 90th $204 to $2,344
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 $204.17 Median $204.17 Typical High $912.01 | Facility | None | $204.17 | $204.17 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $741.31 | Professional | None | $204.17 | $204.17 | $741.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $323.59 Median $549.54 Typical High $1,737.80 | Facility | None | $323.59 | $549.54 | $1,737.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $190.55 Median $1,096.48 Typical High $2,344.23 | Professional | None | $190.55 | $1,096.48 | $2,344.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $794.33 | Facility | None | $257.04 | $363.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $616.60 Typical High $1,096.48 | Facility | None | $263.03 | $616.60 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $1,000.00 | Professional | None | $288.40 | $338.84 | $1,000.00 |
Fallon Health Setting Facility Modifier None Typical Low $467.74 Median $630.96 Typical High $1,047.13 | Facility | None | $467.74 | $630.96 | $1,047.13 |
Fallon Health Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $831.76 | Professional | None | $537.03 | $630.96 | $831.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $281.84 Median $562.34 Typical High $1,047.13 | Professional | None | $281.84 | $562.34 | $1,047.13 |
Health New England Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $1,862.09 | Facility | None | $489.78 | $616.60 | $1,862.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $323.59 Median $549.54 Typical High $1,737.80 | Facility | None | $323.59 | $549.54 | $1,737.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $190.55 Median $1,096.48 Typical High $2,344.23 | Professional | None | $190.55 | $1,096.48 | $2,344.23 |
Tufts Setting Facility Modifier None Typical Low $190.55 Median $371.54 Typical High $933.25 | Facility | None | $190.55 | $371.54 | $933.25 |
Tufts Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $741.31 | Professional | None | $190.55 | $257.04 | $741.31 |
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 $117.49 Median $380.19 Typical High $831.76 | Professional | None | $117.49 | $380.19 | $831.76 |
Well Sense Setting Facility Modifier None Typical Low $69.18 Median $3,090.30 Typical High $4,897.79 | Facility | None | $69.18 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | None | $177.83 | $213.80 | $213.80 |
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 $102.33 Median $102.33 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $41.69 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $309.03 | Professional | FX · Film X-ray | $165.96 | $165.96 | $309.03 |
Where Massachusetts sits
The same service costs 5.1 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· 3rd of 51
$631
AK $933KY $182
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.