How much rates vary
Facilitymedian $324 · 10th to 90th $51 to $617Professionalmedian $380 · 10th to 90th $170 to $2,399
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 $630.96 | Facility | None | $218.78 | $218.78 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $194.98 | $218.78 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $85.11 | Professional | 26 · Professional part | $26.30 | $31.62 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $190.55 | $524.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,047.13 | Facility | None | $275.42 | $436.52 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $213.80 Median $891.25 Typical High $2,398.83 | Professional | None (both parts) | $213.80 | $891.25 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $125.89 Typical High $724.44 | Professional | 26 · Professional part | $38.02 | $125.89 | $724.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $851.14 Typical High $1,659.59 | Professional | TC · Technical part | $186.21 | $851.14 | $1,659.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $446.68 | Facility | None | $141.25 | $199.53 | $446.68 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $707.95 | Professional | None (both parts) | $331.13 | $331.13 | $707.95 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $41.69 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $398.11 Typical High $676.08 | Facility | None | $147.91 | $398.11 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $933.25 | Professional | None (both parts) | $323.59 | $371.54 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $51.29 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $812.83 | Professional | TC · Technical part | $295.12 | $316.23 | $812.83 |
Fallon Health Setting Facility Modifier None Typical Low $48.98 Median $331.13 Typical High $457.09 | Facility | None | $48.98 | $331.13 | $457.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $48.98 | $331.13 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $851.14 | Professional | None (both parts) | $275.42 | $436.52 | $851.14 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $72.44 | $120.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $457.09 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $457.09 | $758.58 |
Health New England Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $660.69 | Facility | None | $346.74 | $467.74 | $660.69 |
Health New England Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $53.70 | $66.07 | $77.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,047.13 | Facility | None | $275.42 | $436.52 | $1,047.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $213.80 Median $891.25 Typical High $2,398.83 | Professional | None (both parts) | $213.80 | $891.25 | $2,398.83 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $125.89 Typical High $724.44 | Professional | 26 · Professional part | $38.02 | $125.89 | $724.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $851.14 Typical High $1,659.59 | Professional | TC · Technical part | $186.21 | $851.14 | $1,659.59 |
Tufts Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Tufts Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $165.96 | $288.40 | $512.86 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $389.05 Typical High $977.24 | Professional | None (both parts) | $204.17 | $389.05 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $123.03 | Professional | 26 · Professional part | $37.15 | $50.12 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $851.14 | Professional | TC · Technical part | $173.78 | $346.74 | $851.14 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $436.52 | Facility | None | $213.80 | $295.12 | $436.52 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $66.07 | Facility | 26 · Professional part | $28.18 | $37.15 | $66.07 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $436.52 | Facility | TC · Technical part | $186.21 | $239.88 | $436.52 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $147.91 | $177.83 | $177.83 |
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 $95.50 Median $109.65 Typical High $154.88 | Professional | 52 · Reduced service | $95.50 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $61.66 | Professional | 53 · Discontinued | $38.90 | $43.65 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | FX · Film X-ray | $173.78 | $173.78 | $309.03 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 15th of 51
$372
AK $977KY $224
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.