How much rates vary
Facilitymedian $380 · 10th to 90th $115 to $1,230Professionalmedian $479 · 10th to 90th $257 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 $457.09 Median $2,137.96 Typical High $2,398.83 | Facility | None | $457.09 | $2,137.96 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $371.54 | $457.09 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $112.20 | $117.49 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $263.03 | $338.84 | $524.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $245.47 Median $1,096.48 Typical High $1,230.27 | Facility | None | $245.47 | $1,096.48 | $1,230.27 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $323.59 Typical High $338.84 | Facility | 26 · Professional part | $74.13 | $323.59 | $338.84 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $831.76 Typical High $870.96 | Facility | TC · Technical part | $173.78 | $831.76 | $870.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $346.74 Median $812.83 Typical High $3,630.78 | Professional | None (both parts) | $346.74 | $812.83 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $229.09 Typical High $660.69 | Professional | 26 · Professional part | $87.10 | $229.09 | $660.69 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $676.08 Typical High $3,090.30 | Professional | TC · Technical part | $275.42 | $676.08 | $3,090.30 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,698.24 | Facility | None | $602.56 | $1,096.48 | $1,698.24 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $562.34 Median $776.25 Typical High $1,071.52 | Professional | None (both parts) | $562.34 | $776.25 | $1,071.52 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $93.33 | $93.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $3,019.95 Typical High $3,801.89 | Facility | None | $346.74 | $3,019.95 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $407.38 Typical High $954.99 | Professional | None (both parts) | $371.54 | $407.38 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $93.33 | $112.20 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $724.44 | Professional | TC · Technical part | $269.15 | $288.40 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $104.71 Median $275.42 Typical High $457.09 | Facility | None | $104.71 | $275.42 | $457.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $109.65 | $288.40 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $331.13 Median $602.56 Typical High $1,000.00 | Professional | None (both parts) | $331.13 | $602.56 | $1,000.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $162.18 Typical High $269.15 | Professional | 26 · Professional part | $95.50 | $162.18 | $269.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $229.09 | $426.58 | $724.44 |
Health New England Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | None (both parts) | $676.08 | $676.08 | $724.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $245.47 Median $1,096.48 Typical High $1,230.27 | Facility | None | $245.47 | $1,096.48 | $1,230.27 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $323.59 Typical High $338.84 | Facility | 26 · Professional part | $74.13 | $323.59 | $338.84 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $831.76 Typical High $870.96 | Facility | TC · Technical part | $173.78 | $831.76 | $870.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $346.74 Median $812.83 Typical High $3,630.78 | Professional | None (both parts) | $346.74 | $812.83 | $3,630.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $229.09 Typical High $660.69 | Professional | 26 · Professional part | $87.10 | $229.09 | $660.69 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $676.08 Typical High $3,090.30 | Professional | TC · Technical part | $275.42 | $676.08 | $3,090.30 |
United Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $1,380.38 | Facility | None | $489.78 | $933.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $1,122.02 | Professional | None (both parts) | $323.59 | $457.09 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $269.15 | Professional | 26 · Professional part | $85.11 | $117.49 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $870.96 | Professional | TC · Technical part | $234.42 | $331.13 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $851.14 | Facility | None | $426.58 | $602.56 | $851.14 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $128.82 | Facility | 26 · Professional part | $63.10 | $77.62 | $128.82 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $758.58 | Facility | TC · Technical part | $371.54 | $457.09 | $758.58 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $467.74 | $467.74 | $562.34 |
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 $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $91.20 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $338.84 | $363.08 | $363.08 |
Where Massachusetts sits
The same service costs 5.9 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· 26th of 51
$468
WY $1,122UT $191
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.