How much rates vary
Facilitymedian $407 · 10th to 90th $52 to $1,950Professionalmedian $676 · 10th to 90th $74 to $5,248
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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $676.08 Typical High $1,737.80 | Professional | None (both parts) | $478.63 | $676.08 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $30.20 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $660.69 Typical High $1,737.80 | Professional | TC · Technical part | $467.74 | $660.69 | $1,737.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $1,778.28 | Facility | None | $389.05 | $1,230.27 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $245.47 Median $2,290.87 Typical High $5,248.07 | Professional | None (both parts) | $245.47 | $2,290.87 | $5,248.07 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $102.33 Typical High $457.09 | Professional | 26 · Professional part | $40.74 | $102.33 | $457.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $2,754.23 Typical High $5,248.07 | Professional | TC · Technical part | $354.81 | $2,754.23 | $5,248.07 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,258.93 | $1,819.70 | $2,511.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | None (both parts) | $263.03 | $263.03 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,495.41 | Facility | None | $602.56 | $1,230.27 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $776.25 | Professional | None (both parts) | $316.23 | $354.81 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $48.98 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $288.40 | $302.00 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $354.81 Typical High $549.54 | Facility | None | $50.12 | $354.81 | $549.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $50.12 | $363.08 | $602.56 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $416.87 Median $912.01 Typical High $3,981.07 | Professional | None (both parts) | $416.87 | $912.01 | $3,981.07 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $69.18 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $812.83 Typical High $4,073.80 | Professional | TC · Technical part | $371.54 | $812.83 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $1,778.28 | Facility | None | $389.05 | $1,230.27 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $245.47 Median $2,290.87 Typical High $5,248.07 | Professional | None (both parts) | $245.47 | $2,290.87 | $5,248.07 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $102.33 Typical High $457.09 | Professional | 26 · Professional part | $40.74 | $102.33 | $457.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $2,754.23 Typical High $5,248.07 | Professional | TC · Technical part | $354.81 | $2,754.23 | $5,248.07 |
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 $295.12 Median $2,290.87 Typical High $7,413.10 | Professional | None (both parts) | $295.12 | $2,290.87 | $7,413.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $53.70 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $2,344.23 Typical High $7,413.10 | Professional | TC · Technical part | $269.15 | $2,344.23 | $7,413.10 |
Well Sense Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $512.86 | Facility | None | $257.04 | $316.23 | $512.86 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $64.57 | Facility | 26 · Professional part | $28.84 | $37.15 | $64.57 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $2,818.38 Typical High $5,370.32 | Facility | TC · Technical part | $275.42 | $2,818.38 | $5,370.32 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $239.88 | $239.88 | $288.40 |
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 $338.84 Median $338.84 Typical High $870.96 | Professional | 52 · Reduced service | $338.84 | $338.84 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $354.81 | Professional | 53 · Discontinued | $134.90 | $134.90 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | FX · Film X-ray | $537.03 | $537.03 | $537.03 |
Where Massachusetts sits
The same service costs 15.1 times more in Colorado 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· 26th of 51
$676
CO $3,715NJ $245
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.