How much rates vary
Facilitymedian $148 · 10th to 90th $81 to $5,495Professionalmedian $204 · 10th to 90th $95 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 $117.49 Median $117.49 Typical High $933.25 | Facility | None | $117.49 | $117.49 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $117.49 | $117.49 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $46.77 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $70.79 | $162.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $144.54 Median $478.63 Typical High $6,165.95 | Facility | None | $144.54 | $478.63 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $144.54 Median $467.74 Typical High $3,235.94 | Professional | None (both parts) | $144.54 | $467.74 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $158.49 Typical High $630.96 | Professional | 26 · Professional part | $61.66 | $158.49 | $630.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $85.11 | $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 $87.10 | Professional | None (both parts) | $85.11 | $85.11 | $87.10 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $64.57 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $5,495.41 Typical High $13,489.63 | Facility | None | $660.69 | $5,495.41 | $13,489.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $489.78 | Professional | None (both parts) | $165.96 | $173.78 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $74.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $97.72 | $323.59 |
Fallon Health Setting Facility Modifier None Typical Low $74.13 Median $100.00 Typical High $213.80 | Facility | None | $74.13 | $100.00 | $213.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $77.62 | $112.20 | $213.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $154.88 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $154.88 | $281.84 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $67.61 | $107.15 | $181.97 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $147.91 | $269.15 |
Health New England Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $144.54 Median $478.63 Typical High $6,165.95 | Facility | None | $144.54 | $478.63 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $144.54 Median $467.74 Typical High $3,235.94 | Professional | None (both parts) | $144.54 | $467.74 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $158.49 Typical High $630.96 | Professional | 26 · Professional part | $61.66 | $158.49 | $630.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $85.11 | $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 $151.36 Median $204.17 Typical High $575.44 | Professional | None (both parts) | $151.36 | $204.17 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $83.18 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $489.78 | Professional | TC · Technical part | $85.11 | $114.82 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $208.93 | Facility | None | $102.33 | $141.25 | $208.93 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $102.33 | Facility | 26 · Professional part | $44.67 | $57.54 | $102.33 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $131.83 | Facility | TC · Technical part | $57.54 | $74.13 | $131.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $190.55 | $190.55 | $229.09 |
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 $58.88 Median $58.88 Typical High $112.20 | Professional | 52 · Reduced service | $58.88 | $58.88 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $44.67 | Professional | 53 · Discontinued | $23.44 | $23.44 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $177.83 | Professional | FX · Film X-ray | $95.50 | $95.50 | $177.83 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska 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· 25th of 51
$200
AK $407UT $75.86
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.