How much rates vary
Facilitymedian $263 · 10th to 90th $129 to $501Professionalmedian $355 · 10th to 90th $158 to $1,698
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 $158.49 Median $158.49 Typical High $616.60 | Facility | None | $158.49 | $158.49 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $512.86 | Professional | None (both parts) | $158.49 | $158.49 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $75.86 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $83.18 | $309.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $251.19 Typical High $954.99 | Facility | None | $93.33 | $251.19 | $954.99 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $234.42 Median $676.08 Typical High $1,698.24 | Professional | None (both parts) | $234.42 | $676.08 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $245.47 Typical High $630.96 | Professional | 26 · Professional part | $97.72 | $245.47 | $630.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $147.91 | $446.68 | $1,047.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $457.09 | Facility | None | $229.09 | $338.84 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $190.55 Typical High $263.03 | Professional | 26 · Professional part | $114.82 | $190.55 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $776.25 | Facility | None | $131.83 | $208.93 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $338.84 | $354.81 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $128.82 Typical High $281.84 | Professional | 26 · Professional part | $125.89 | $128.82 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $223.87 | $467.74 |
Fallon Health Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $467.74 | Facility | None | $131.83 | $251.19 | $467.74 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $134.90 | $288.40 | $489.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $281.84 Median $588.84 Typical High $794.33 | Professional | None (both parts) | $281.84 | $588.84 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $213.80 Typical High $295.12 | Professional | 26 · Professional part | $109.65 | $213.80 | $295.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $371.54 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $251.19 Typical High $954.99 | Facility | None | $93.33 | $251.19 | $954.99 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $234.42 Median $676.08 Typical High $1,698.24 | Professional | None (both parts) | $234.42 | $676.08 | $1,698.24 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $245.47 Typical High $630.96 | Professional | 26 · Professional part | $97.72 | $245.47 | $630.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $147.91 | $446.68 | $1,047.13 |
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 $208.93 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $208.93 | $331.13 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $131.83 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $117.49 | $199.53 | $371.54 |
Well Sense Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $416.87 | Facility | None | $199.53 | $275.42 | $416.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $173.78 | Facility | 26 · Professional part | $74.13 | $93.33 | $173.78 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $295.12 | Facility | TC · Technical part | $125.89 | $158.49 | $295.12 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $158.49 | $158.49 | $213.80 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $77.62 | $102.33 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $83.18 | $83.18 | $112.20 |
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 $79.43 Median $79.43 Typical High $141.25 | Professional | 52 · Reduced service | $79.43 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $56.23 | Professional | 53 · Discontinued | $31.62 | $31.62 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $501.19 | Professional | FX · Film X-ray | $128.82 | $128.82 | $501.19 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 13th of 51
$355
AK $741TX $138
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.