How much rates vary
Facilitymedian $562 · 10th to 90th $302 to $3,090Professionalmedian $708 · 10th to 90th $372 to $7,586
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 $380.19 Median $380.19 Typical High $2,290.87 | Facility | None | $380.19 | $380.19 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $380.19 | $478.63 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $199.53 Typical High $512.86 | Professional | 26 · Professional part | $162.18 | $199.53 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $724.44 | Professional | TC · Technical part | $218.78 | $263.03 | $724.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $1,737.80 Typical High $2,754.23 | Facility | None | $549.54 | $1,737.80 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,698.24 Typical High $7,585.78 | Professional | None (both parts) | $512.86 | $1,698.24 | $7,585.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $758.58 Typical High $1,698.24 | Professional | 26 · Professional part | $229.09 | $758.58 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $1,348.96 Typical High $6,456.54 | Professional | TC · Technical part | $302.00 | $1,348.96 | $6,456.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $4,265.80 | Facility | None | $1,348.96 | $1,905.46 | $4,265.80 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $1,258.93 | Professional | None (both parts) | $575.44 | $575.44 | $1,258.93 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $549.54 | Professional | 26 · Professional part | $257.04 | $257.04 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,659.59 Typical High $5,888.44 | Facility | None | $446.68 | $1,659.59 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $2,041.74 | Professional | None (both parts) | $602.56 | $724.44 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $309.03 Typical High $707.95 | Professional | 26 · Professional part | $269.15 | $309.03 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $416.87 Typical High $1,122.02 | Professional | TC · Technical part | $331.13 | $416.87 | $1,122.02 |
Fallon Health Setting Facility Modifier None Typical Low $295.12 Median $398.11 Typical High $812.83 | Facility | None | $295.12 | $398.11 | $812.83 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $302.00 | $416.87 | $812.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,096.48 Typical High $1,819.70 | Professional | None (both parts) | $588.84 | $1,096.48 | $1,819.70 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $446.68 Typical High $724.44 | Professional | 26 · Professional part | $234.42 | $446.68 | $724.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $562.34 Typical High $1,000.00 | Professional | TC · Technical part | $316.23 | $562.34 | $1,000.00 |
Health New England Setting Facility Modifier None Typical Low $676.08 Median $2,951.21 Typical High $5,248.07 | Facility | None | $676.08 | $2,951.21 | $5,248.07 |
Health New England Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $467.74 | Professional | None (both parts) | $331.13 | $416.87 | $467.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $1,737.80 Typical High $2,754.23 | Facility | None | $549.54 | $1,737.80 | $2,754.23 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,698.24 Typical High $7,585.78 | Professional | None (both parts) | $512.86 | $1,698.24 | $7,585.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $758.58 Typical High $1,698.24 | Professional | 26 · Professional part | $229.09 | $758.58 | $1,698.24 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $1,348.96 Typical High $6,456.54 | Professional | TC · Technical part | $302.00 | $1,348.96 | $6,456.54 |
Tufts Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $2,344.23 | Facility | None | $426.58 | $426.58 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,630.78 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $954.99 Typical High $1,698.24 | Professional | None (both parts) | $562.34 | $954.99 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $302.00 Typical High $741.31 | Professional | 26 · Professional part | $229.09 | $302.00 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $549.54 Typical High $1,258.93 | Professional | TC · Technical part | $309.03 | $549.54 | $1,258.93 |
Well Sense Setting Facility Modifier None Typical Low $371.54 Median $512.86 Typical High $758.58 | Facility | None | $371.54 | $512.86 | $758.58 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $169.82 Median $218.78 Typical High $389.05 | Facility | 26 · Professional part | $169.82 | $218.78 | $389.05 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $467.74 | Facility | TC · Technical part | $204.17 | $263.03 | $467.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $478.63 | $575.44 | $575.44 |
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 $190.55 Median $190.55 Typical High $354.81 | Professional | 52 · Reduced service | $190.55 | $190.55 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $141.25 | Professional | 53 · Discontinued | $75.86 | $75.86 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $562.34 | Professional | FX · Film X-ray | $302.00 | $302.00 | $562.34 |
Where Massachusetts sits
The same service costs 4.9 times more in Alaska than in Florida. 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· 31st of 51
$676
AK $1,905FL $389
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.