How much rates vary
Facilitymedian $170 · 10th to 90th $93 to $5,495Professionalmedian $229 · 10th to 90th $115 to $3,236
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 $125.89 Median $125.89 Typical High $977.24 | Facility | None | $125.89 | $125.89 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $363.08 | Professional | None (both parts) | $125.89 | $134.90 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $151.36 | Professional | 26 · Professional part | $39.81 | $48.98 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $87.10 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $169.82 Median $549.54 Typical High $6,165.95 | Facility | None | $169.82 | $549.54 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $165.96 Median $512.86 Typical High $3,235.94 | Professional | None (both parts) | $165.96 | $512.86 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $213.80 Typical High $549.54 | Professional | 26 · Professional part | $67.61 | $213.80 | $549.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $83.18 | $489.78 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $6,025.60 | Facility | None | $3,019.95 | $4,365.16 | $6,025.60 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $85.11 | $85.11 | $158.49 |
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 $741.31 Median $5,495.41 Typical High $13,489.63 | Facility | None | $741.31 | $5,495.41 | $13,489.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $190.55 | $194.98 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $239.88 | Professional | 26 · Professional part | $67.61 | $100.00 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $316.23 | Professional | TC · Technical part | $93.33 | $95.50 | $316.23 |
Fallon Health Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $245.47 | Facility | None | $89.13 | $114.82 | $245.47 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $93.33 | $125.89 | $245.47 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $181.97 | $331.13 | $575.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $141.25 Typical High $251.19 | Professional | 26 · Professional part | $87.10 | $141.25 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $144.54 | $269.15 |
Health New England Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $165.96 | $165.96 | $213.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $169.82 Median $549.54 Typical High $6,165.95 | Facility | None | $169.82 | $549.54 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $165.96 Median $512.86 Typical High $3,235.94 | Professional | None (both parts) | $165.96 | $512.86 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $213.80 Typical High $549.54 | Professional | 26 · Professional part | $67.61 | $213.80 | $549.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $83.18 | $489.78 | $2,884.03 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $12,302.69 | Facility | None | $4,365.16 | $8,317.64 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $575.44 | Professional | None (both parts) | $169.82 | $229.09 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $58.88 | $107.15 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $501.19 | Professional | TC · Technical part | $83.18 | $112.20 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $234.42 | Facility | None | $114.82 | $158.49 | $234.42 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $138.04 | Facility | 26 · Professional part | $60.26 | $77.62 | $138.04 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $128.82 | Facility | TC · Technical part | $54.95 | $72.44 | $128.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $199.53 | $199.53 | $239.88 |
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 $63.10 Median $63.10 Typical High $117.49 | Professional | 52 · Reduced service | $63.10 | $63.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $47.86 | Professional | 53 · Discontinued | $25.12 | $25.12 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $190.55 | Professional | FX · Film X-ray | $102.33 | $102.33 | $190.55 |
Where Massachusetts sits
The same service costs 4.1 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· 24th of 51
$224
AK $468TX $115
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.