How much rates vary
Facilitymedian $513 · 10th to 90th $110 to $1,905Professionalmedian $646 · 10th to 90th $339 to $3,631
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 $645.65 Median $2,137.96 Typical High $2,691.53 | Facility | None | $645.65 | $2,137.96 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $426.58 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $114.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $316.23 | $537.03 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $1,548.82 Typical High $1,659.59 | Facility | None | $331.13 | $1,548.82 | $1,659.59 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $309.03 Typical High $331.13 | Facility | 26 · Professional part | $70.79 | $309.03 | $331.13 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $1,258.93 Typical High $1,348.96 | Facility | TC · Technical part | $263.03 | $1,258.93 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,071.52 Typical High $3,630.78 | Professional | None (both parts) | $478.63 | $1,071.52 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $218.78 Typical High $812.83 | Professional | 26 · Professional part | $83.18 | $218.78 | $812.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $870.96 Typical High $3,162.28 | Professional | TC · Technical part | $371.54 | $870.96 | $3,162.28 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,949.84 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,174.90 Typical High $1,659.59 | Professional | None (both parts) | $707.95 | $1,174.90 | $1,659.59 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,754.23 Typical High $7,413.10 | Facility | None | $478.63 | $2,754.23 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $549.54 Typical High $1,288.25 | Professional | None (both parts) | $512.86 | $549.54 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $257.04 | Professional | 26 · Professional part | $89.13 | $109.65 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $407.38 | $446.68 | $1,047.13 |
Fallon Health Setting Facility Modifier None Typical Low $102.33 Median $416.87 Typical High $602.56 | Facility | None | $102.33 | $416.87 | $602.56 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $104.71 | $426.58 | $630.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $446.68 Median $758.58 Typical High $1,348.96 | Professional | None (both parts) | $446.68 | $758.58 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $91.20 | $151.36 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $602.56 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $602.56 | $1,000.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $1,548.82 Typical High $1,659.59 | Facility | None | $331.13 | $1,548.82 | $1,659.59 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $309.03 Typical High $331.13 | Facility | 26 · Professional part | $70.79 | $309.03 | $331.13 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $1,258.93 Typical High $1,348.96 | Facility | TC · Technical part | $263.03 | $1,258.93 | $1,348.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,071.52 Typical High $3,630.78 | Professional | None (both parts) | $478.63 | $1,071.52 | $3,630.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $218.78 Typical High $812.83 | Professional | 26 · Professional part | $83.18 | $218.78 | $812.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $870.96 Typical High $3,162.28 | Professional | TC · Technical part | $371.54 | $870.96 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $3,090.30 | Facility | None | $1,096.48 | $2,089.30 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $1,412.54 | Professional | None (both parts) | $446.68 | $616.60 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $263.03 | Professional | 26 · Professional part | $77.62 | $114.82 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $512.86 Typical High $1,202.26 | Professional | TC · Technical part | $371.54 | $512.86 | $1,202.26 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,230.27 | Facility | None | $524.81 | $851.14 | $1,230.27 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $125.89 | Facility | 26 · Professional part | $61.66 | $75.86 | $125.89 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $691.83 Typical High $1,148.15 | Facility | TC · Technical part | $549.54 | $691.83 | $1,148.15 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | None (both parts) | $512.86 | $512.86 | $616.60 |
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 $213.80 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $213.80 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $85.11 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $524.81 Typical High $524.81 | Professional | FX · Film X-ray | $363.08 | $524.81 | $524.81 |
Where Massachusetts sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 17th of 51
$631
WY $1,514UT $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.