How much rates vary
Facilitymedian $155 · 10th to 90th $83 to $5,495Professionalmedian $214 · 10th to 90th $102 to $4,169
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 $123.03 Median $123.03 Typical High $954.99 | Facility | None | $123.03 | $123.03 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $123.03 | $123.03 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $51.29 | $51.29 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $72.44 | $158.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $501.19 Typical High $6,165.95 | Facility | None | $154.88 | $501.19 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $147.91 Median $489.78 Typical High $4,168.69 | Professional | None (both parts) | $147.91 | $489.78 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $169.82 Typical High $724.44 | Professional | 26 · Professional part | $67.61 | $169.82 | $724.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $489.78 Typical High $3,467.37 | Professional | TC · Technical part | $87.10 | $489.78 | $3,467.37 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $70.79 | $120.23 |
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 $173.78 Median $181.97 Typical High $501.19 | Professional | None (both parts) | $173.78 | $181.97 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $81.28 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $102.33 | $331.13 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $223.87 | Facility | None | $79.43 | $104.71 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $83.18 | $120.23 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $162.18 | $302.00 | $549.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $120.23 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $151.36 Typical High $275.42 | Professional | TC · Technical part | $87.10 | $151.36 | $275.42 |
Health New England Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Health New England Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $501.19 Typical High $6,165.95 | Facility | None | $154.88 | $501.19 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $147.91 Median $489.78 Typical High $4,168.69 | Professional | None (both parts) | $147.91 | $489.78 | $4,168.69 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $169.82 Typical High $724.44 | Professional | 26 · Professional part | $67.61 | $169.82 | $724.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $489.78 Typical High $3,467.37 | Professional | TC · Technical part | $87.10 | $489.78 | $3,467.37 |
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 $158.49 Median $213.80 Typical High $588.84 | Professional | None (both parts) | $158.49 | $213.80 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $489.78 | Professional | TC · Technical part | $87.10 | $117.49 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $218.78 | Facility | None | $104.71 | $144.54 | $218.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $109.65 | Facility | 26 · Professional part | $47.86 | $66.07 | $109.65 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $134.90 | Facility | TC · Technical part | $57.54 | $75.86 | $134.90 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $194.98 | $194.98 | $234.42 |
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 $61.66 Median $61.66 Typical High $114.82 | Professional | 52 · Reduced service | $61.66 | $61.66 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $45.71 | Professional | 53 · Discontinued | $24.55 | $24.55 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | FX · Film X-ray | $97.72 | $97.72 | $181.97 |
Where Massachusetts sits
The same service costs 4.7 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
$214
AK $427TX $91.20
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.