How much rates vary
Facilitymedian $417 · 10th to 90th $174 to $2,239Professionalmedian $891 · 10th to 90th $204 to $8,511
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $758.58 | $758.58 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $204.17 | Professional | 26 · Professional part | $47.86 | $47.86 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $724.44 Typical High $933.25 | Professional | TC · Technical part | $524.81 | $724.44 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $933.25 Typical High $1,258.93 | Facility | None | $275.42 | $933.25 | $1,258.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,698.24 Typical High $8,511.38 | Professional | None (both parts) | $363.08 | $1,698.24 | $8,511.38 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $257.04 Typical High $933.25 | Professional | 26 · Professional part | $70.79 | $257.04 | $933.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,659.59 Typical High $7,762.47 | Professional | TC · Technical part | $457.09 | $1,659.59 | $7,762.47 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,311.31 | Facility | None | $1,659.59 | $2,454.71 | $3,311.31 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $1,318.26 | Professional | None (both parts) | $234.42 | $234.42 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $2,884.03 | Facility | None | $199.53 | $223.87 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $3,162.28 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $89.13 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $3,019.95 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $3,019.95 |
Fallon Health Setting Facility Modifier None Typical Low $162.18 Median $288.40 Typical High $537.03 | Facility | None | $162.18 | $288.40 | $537.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $165.96 | $302.00 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $870.96 Typical High $2,344.23 | Professional | None (both parts) | $380.19 | $870.96 | $2,344.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $186.21 Typical High $354.81 | Professional | 26 · Professional part | $85.11 | $186.21 | $354.81 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $501.19 Typical High $2,238.72 | Professional | TC · Technical part | $229.09 | $501.19 | $2,238.72 |
Health New England Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $933.25 Typical High $1,258.93 | Facility | None | $275.42 | $933.25 | $1,258.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,698.24 Typical High $8,511.38 | Professional | None (both parts) | $363.08 | $1,698.24 | $8,511.38 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $257.04 Typical High $933.25 | Professional | 26 · Professional part | $70.79 | $257.04 | $933.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,659.59 Typical High $7,762.47 | Professional | TC · Technical part | $457.09 | $1,659.59 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,698.24 Typical High $3,019.95 | Professional | None (both parts) | $1,122.02 | $1,698.24 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $70.79 | $95.50 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,621.81 Typical High $2,884.03 | Professional | TC · Technical part | $1,071.52 | $1,621.81 | $2,884.03 |
Well Sense Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,905.46 | Facility | None | $954.99 | $1,148.15 | $1,905.46 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $104.71 | Facility | 26 · Professional part | $51.29 | $67.61 | $104.71 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $1,862.09 | Facility | TC · Technical part | $912.01 | $1,096.48 | $1,862.09 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Professional | None (both parts) | $891.25 | $891.25 | $1,047.13 |
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 $380.19 Median $380.19 Typical High $446.68 | Professional | 52 · Reduced service | $380.19 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $154.88 | $154.88 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | FX · Film X-ray | $616.60 | $616.60 | $616.60 |
Where Massachusetts sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 38th of 51
$832
AK $2,754OR $135
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.