How much rates vary
Facilitymedian $372 · 10th to 90th $60 to $1,288Professionalmedian $537 · 10th to 90th $85 to $1,778
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $288.40 | $288.40 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $32.36 | $32.36 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $426.58 | Professional | TC · Technical part | $275.42 | $275.42 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $354.81 Median $1,122.02 Typical High $1,778.28 | Facility | None | $354.81 | $1,122.02 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $223.87 Median $954.99 Typical High $1,778.28 | Professional | None (both parts) | $223.87 | $954.99 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $117.49 Typical High $354.81 | Professional | 26 · Professional part | $43.65 | $117.49 | $354.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $323.59 | $891.25 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,412.54 | Facility | None | $707.95 | $1,023.29 | $1,412.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | None (both parts) | $263.03 | $263.03 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $2,089.30 | Facility | None | $602.56 | $1,000.00 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $302.00 | $346.74 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $53.70 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $257.04 | $288.40 | $660.69 |
Fallon Health Setting Facility Modifier None Typical Low $57.54 Median $338.84 Typical High $489.78 | Facility | None | $57.54 | $338.84 | $489.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $57.54 | $354.81 | $549.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $794.33 Typical High $1,230.27 | Professional | None (both parts) | $380.19 | $794.33 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $77.62 | $134.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $691.83 Typical High $954.99 | Professional | TC · Technical part | $331.13 | $691.83 | $954.99 |
Mass General Brigham Setting Facility Modifier None Typical Low $354.81 Median $1,122.02 Typical High $1,778.28 | Facility | None | $354.81 | $1,122.02 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $223.87 Median $954.99 Typical High $1,778.28 | Professional | None (both parts) | $223.87 | $954.99 | $1,778.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $117.49 Typical High $354.81 | Professional | 26 · Professional part | $43.65 | $117.49 | $354.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $323.59 | $891.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,454.71 | Facility | None | $870.96 | $1,659.59 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $870.96 Typical High $1,698.24 | Professional | None (both parts) | $263.03 | $870.96 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $57.54 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $870.96 Typical High $1,584.89 | Professional | TC · Technical part | $234.42 | $870.96 | $1,584.89 |
Well Sense Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $467.74 | Facility | None | $245.47 | $288.40 | $467.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $72.44 | Facility | 26 · Professional part | $30.90 | $41.69 | $72.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $549.54 Typical High $1,047.13 | Facility | TC · Technical part | $245.47 | $549.54 | $1,047.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $218.78 | $218.78 | $263.03 |
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 $141.25 Median $141.25 Typical High $223.87 | Professional | 52 · Reduced service | $141.25 | $141.25 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | 53 · Discontinued | $57.54 | $57.54 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $346.74 | Professional | FX · Film X-ray | $229.09 | $229.09 | $346.74 |
Where Massachusetts sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 27th of 51
$490
AK $1,000NJ $209
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.