How much rates vary
Facilitymedian $550 · 10th to 90th $115 to $1,318Professionalmedian $631 · 10th to 90th $339 to $4,467
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 $407.38 Median $407.38 Typical High $1,698.24 | Facility | None | $407.38 | $407.38 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $446.68 Typical High $1,122.02 | Professional | None (both parts) | $407.38 | $446.68 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $186.21 | Professional | 26 · Professional part | $58.88 | $67.61 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $371.54 Typical High $912.01 | Professional | TC · Technical part | $346.74 | $371.54 | $912.01 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,698.24 | Facility | None | $436.52 | $831.76 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,479.11 Typical High $4,466.84 | Professional | None (both parts) | $398.11 | $1,479.11 | $4,466.84 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $275.42 Typical High $1,348.96 | Professional | 26 · Professional part | $83.18 | $275.42 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,348.96 Typical High $3,162.28 | Professional | TC · Technical part | $338.84 | $1,348.96 | $3,162.28 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,148.15 | Facility | None | $371.54 | $524.81 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $1,174.90 | Professional | None (both parts) | $537.03 | $537.03 | $1,174.90 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $93.33 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $933.25 Typical High $1,949.84 | Facility | None | $380.19 | $933.25 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $676.08 Typical High $1,548.82 | Professional | None (both parts) | $562.34 | $676.08 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $263.03 | Professional | 26 · Professional part | $97.72 | $114.82 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $575.44 Typical High $1,288.25 | Professional | TC · Technical part | $457.09 | $575.44 | $1,288.25 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $512.86 Typical High $741.31 | Facility | None | $107.15 | $512.86 | $741.31 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $109.65 | $512.86 | $741.31 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $467.74 Median $870.96 Typical High $1,445.44 | Professional | None (both parts) | $467.74 | $870.96 | $1,445.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $85.11 | $162.18 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $741.31 Typical High $1,230.27 | Professional | TC · Technical part | $389.05 | $741.31 | $1,230.27 |
Health New England Setting Facility Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,621.81 | Facility | None | $724.44 | $1,148.15 | $1,621.81 |
Health New England Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $120.23 | $151.36 | $169.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,698.24 | Facility | None | $436.52 | $831.76 | $1,698.24 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,479.11 Typical High $4,466.84 | Professional | None (both parts) | $398.11 | $1,479.11 | $4,466.84 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $275.42 Typical High $1,348.96 | Professional | 26 · Professional part | $83.18 | $275.42 | $1,348.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,348.96 Typical High $3,162.28 | Professional | TC · Technical part | $338.84 | $1,348.96 | $3,162.28 |
Tufts Setting Facility Modifier None Typical Low $467.74 Median $616.60 Typical High $1,096.48 | Facility | None | $467.74 | $616.60 | $1,096.48 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,000.00 Typical High $1,479.11 | Facility | None | $524.81 | $1,000.00 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $416.87 | $707.95 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $83.18 | $112.20 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $602.56 Typical High $1,318.26 | Professional | TC · Technical part | $338.84 | $602.56 | $1,318.26 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $741.31 | Facility | None | $354.81 | $501.19 | $741.31 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $144.54 | Facility | 26 · Professional part | $61.66 | $79.43 | $144.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $389.05 Typical High $691.83 | Facility | TC · Technical part | $295.12 | $389.05 | $691.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $407.38 | $489.78 | $489.78 |
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 $204.17 Median $204.17 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $331.13 Typical High $588.84 | Professional | FX · Film X-ray | $331.13 | $331.13 | $588.84 |
Where Massachusetts sits
The same service costs 4.6 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· 20th of 51
$617
AK $1,698TX $372
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.