How much rates vary
Facilitymedian $513 · 10th to 90th $200 to $6,457Professionalmedian $1,479 · 10th to 90th $224 to $9,333
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 $776.25 Median $2,137.96 Typical High $2,137.96 | Facility | None | $776.25 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $398.11 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $141.25 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $281.84 | $707.95 | $707.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $302.00 Median $1,778.28 Typical High $6,760.83 | Facility | None | $302.00 | $1,778.28 | $6,760.83 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $141.25 Median $616.60 Typical High $645.65 | Facility | 26 · Professional part | $141.25 | $616.60 | $645.65 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $186.21 Median $2,089.30 Typical High $9,332.54 | Professional | None (both parts) | $186.21 | $2,089.30 | $9,332.54 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $426.58 Typical High $1,000.00 | Professional | 26 · Professional part | $154.88 | $426.58 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $3,981.07 Typical High $9,120.11 | Professional | TC · Technical part | $181.97 | $3,981.07 | $9,120.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $891.25 | Facility | None | $309.03 | $575.44 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $3,311.31 | Facility | None | $302.00 | $1,698.24 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,949.84 Typical High $4,570.88 | Professional | None (both parts) | $1,548.82 | $1,949.84 | $4,570.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $199.53 Typical High $457.09 | Professional | 26 · Professional part | $190.55 | $199.53 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,778.28 Typical High $4,073.80 | Professional | TC · Technical part | $1,479.11 | $1,778.28 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $2,344.23 | Facility | None | $173.78 | $234.42 | $2,344.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $2,089.30 | Professional | None (both parts) | $194.98 | $251.19 | $2,089.30 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,737.80 Typical High $4,073.80 | Professional | None (both parts) | $398.11 | $1,737.80 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $302.00 Typical High $501.19 | Professional | 26 · Professional part | $169.82 | $302.00 | $501.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $1,548.82 Typical High $3,630.78 | Professional | TC · Technical part | $218.78 | $1,548.82 | $3,630.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $302.00 Median $1,778.28 Typical High $6,760.83 | Facility | None | $302.00 | $1,778.28 | $6,760.83 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $141.25 Median $616.60 Typical High $645.65 | Facility | 26 · Professional part | $141.25 | $616.60 | $645.65 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $186.21 Median $2,089.30 Typical High $9,332.54 | Professional | None (both parts) | $186.21 | $2,089.30 | $9,332.54 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $426.58 Typical High $1,000.00 | Professional | 26 · Professional part | $154.88 | $426.58 | $1,000.00 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $3,981.07 Typical High $9,120.11 | Professional | TC · Technical part | $181.97 | $3,981.07 | $9,120.11 |
United Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $478.63 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $218.78 Typical High $501.19 | Professional | 26 · Professional part | $144.54 | $218.78 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $831.76 | Professional | TC · Technical part | $181.97 | $263.03 | $831.76 |
Well Sense Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $1,148.15 | Facility | None | $199.53 | $199.53 | $1,148.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $234.42 | Facility | 26 · Professional part | $117.49 | $151.36 | $234.42 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $331.13 | Facility | TC · Technical part | $141.25 | $177.83 | $331.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,380.38 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,380.38 |
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 $199.53 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $199.53 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $81.28 | $154.88 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $616.60 Typical High $616.60 | Professional | FX · Film X-ray | $338.84 | $616.60 | $616.60 |
Where Massachusetts sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 6th of 51
$1,202
WY $3,715WA $275
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.