How much rates vary
Facilitymedian $407 · 10th to 90th $71 to $5,495Professionalmedian $676 · 10th to 90th $98 to $5,370
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 $489.78 Median $676.08 Typical High $2,137.96 | Professional | None (both parts) | $489.78 | $676.08 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $44.67 | $44.67 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $660.69 Typical High $2,089.30 | Professional | TC · Technical part | $467.74 | $660.69 | $2,089.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $6,165.95 | Facility | None | $398.11 | $1,230.27 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $257.04 Median $3,890.45 Typical High $5,370.32 | Professional | None (both parts) | $257.04 | $3,890.45 | $5,370.32 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $138.04 Typical High $524.81 | Professional | 26 · Professional part | $54.95 | $138.04 | $524.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $3,981.07 Typical High $5,248.07 | Professional | TC · Technical part | $346.74 | $3,981.07 | $5,248.07 |
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 $251.19 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $251.19 | $251.19 | $338.84 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $56.23 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $8,511.38 | Facility | None | $602.56 | $1,949.84 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $338.84 | $354.81 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $64.57 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $288.40 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $363.08 Typical High $537.03 | Facility | None | $67.61 | $363.08 | $537.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $67.61 | $371.54 | $602.56 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $426.58 Median $912.01 Typical High $5,623.41 | Professional | None (both parts) | $426.58 | $912.01 | $5,623.41 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $93.33 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $776.25 Typical High $4,786.30 | Professional | TC · Technical part | $363.08 | $776.25 | $4,786.30 |
Health New England Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $6,165.95 | Facility | None | $398.11 | $1,230.27 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $257.04 Median $3,890.45 Typical High $5,370.32 | Professional | None (both parts) | $257.04 | $3,890.45 | $5,370.32 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $138.04 Typical High $524.81 | Professional | 26 · Professional part | $54.95 | $138.04 | $524.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $3,981.07 Typical High $5,248.07 | Professional | TC · Technical part | $346.74 | $3,981.07 | $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 $309.03 Median $3,890.45 Typical High $7,585.78 | Professional | None (both parts) | $309.03 | $3,890.45 | $7,585.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $3,801.89 Typical High $7,413.10 | Professional | TC · Technical part | $269.15 | $3,801.89 | $7,413.10 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $323.59 Typical High $524.81 | Facility | None | $263.03 | $323.59 | $524.81 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $87.10 | Facility | 26 · Professional part | $38.90 | $50.12 | $87.10 |
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 $251.19 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $251.19 | $251.19 | $302.00 |
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 $1,071.52 | Professional | 52 · Reduced service | $338.84 | $338.84 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $426.58 | Professional | 53 · Discontinued | $134.90 | $134.90 | $426.58 |
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 $3,890NJ $257
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.