How much rates vary
Facilitymedian $309 · 10th to 90th $110 to $1,047Professionalmedian $380 · 10th to 90th $166 to $1,698
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 $218.78 Median $218.78 Typical High $691.83 | Facility | None | $218.78 | $218.78 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $524.81 | Professional | None (both parts) | $218.78 | $218.78 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $63.10 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $158.49 | $363.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $229.09 Median $954.99 Typical High $1,148.15 | Facility | None | $229.09 | $954.99 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $199.53 Median $741.31 Typical High $1,698.24 | Professional | None (both parts) | $199.53 | $741.31 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $208.93 Typical High $501.19 | Professional | 26 · Professional part | $83.18 | $208.93 | $501.19 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $537.03 Typical High $1,202.26 | Professional | TC · Technical part | $147.91 | $537.03 | $1,202.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $1,148.15 | Facility | None | $575.44 | $831.76 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $354.81 | Professional | None (both parts) | $229.09 | $316.23 | $354.81 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $120.23 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $812.83 Typical High $1,659.59 | Facility | None | $288.40 | $812.83 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $851.14 | Professional | None (both parts) | $281.84 | $346.74 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $234.42 | Professional | 26 · Professional part | $93.33 | $100.00 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $213.80 | $251.19 | $616.60 |
Fallon Health Setting Facility Modifier None Typical Low $102.33 Median $263.03 Typical High $436.52 | Facility | None | $102.33 | $263.03 | $436.52 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $104.71 | $275.42 | $436.52 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $812.83 | Professional | None (both parts) | $269.15 | $549.54 | $812.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $85.11 | $165.96 | $239.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $389.05 Typical High $575.44 | Professional | TC · Technical part | $194.98 | $389.05 | $575.44 |
Health New England Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $912.01 | Facility | None | $426.58 | $478.63 | $912.01 |
Health New England Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $562.34 | Professional | None (both parts) | $165.96 | $239.88 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $229.09 Median $954.99 Typical High $1,148.15 | Facility | None | $229.09 | $954.99 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $199.53 Median $741.31 Typical High $1,698.24 | Professional | None (both parts) | $199.53 | $741.31 | $1,698.24 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $208.93 Typical High $501.19 | Professional | 26 · Professional part | $83.18 | $208.93 | $501.19 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $537.03 Typical High $1,202.26 | Professional | TC · Technical part | $147.91 | $537.03 | $1,202.26 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $169.82 | $354.81 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $104.71 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $91.20 | $245.47 | $549.54 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $426.58 | Facility | None | $204.17 | $288.40 | $426.58 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $134.90 | Facility | 26 · Professional part | $58.88 | $75.86 | $134.90 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $346.74 | Facility | TC · Technical part | $147.91 | $190.55 | $346.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $165.96 | $165.96 | $199.53 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $61.66 | $66.07 | $77.62 |
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 $109.65 Median $109.65 Typical High $194.98 | Professional | 52 · Reduced service | $109.65 | $109.65 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 53 · Discontinued | $43.65 | $43.65 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $549.54 | Professional | FX · Film X-ray | $177.83 | $177.83 | $549.54 |
Where Massachusetts sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 12th of 51
$372
AK $794UT $158
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.