How much rates vary
Facilitymedian $1,318 · 10th to 90th $141 to $2,512Professionalmedian $1,445 · 10th to 90th $275 to $6,457
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 $616.60 Median $616.60 Typical High $2,290.87 | Facility | None | $616.60 | $616.60 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $1,071.52 | Professional | None (both parts) | $616.60 | $616.60 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $79.43 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $954.99 | Professional | TC · Technical part | $537.03 | $537.03 | $954.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $3,981.07 | Facility | None | $1,000.00 | $1,995.26 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $758.58 Median $3,311.31 Typical High $6,456.54 | Professional | None (both parts) | $758.58 | $3,311.31 | $6,456.54 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $331.13 Typical High $1,445.44 | Professional | 26 · Professional part | $107.15 | $331.13 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $3,162.28 Typical High $5,754.40 | Professional | TC · Technical part | $691.83 | $3,162.28 | $5,754.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $812.83 Median $1,148.15 Typical High $2,511.89 | Facility | None | $812.83 | $1,148.15 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,819.70 Typical High $3,090.30 | Facility | None | $588.84 | $1,819.70 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,348.96 Typical High $3,311.31 | Professional | None (both parts) | $1,174.90 | $1,348.96 | $3,311.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $309.03 | Professional | 26 · Professional part | $114.82 | $141.25 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,230.27 Typical High $3,019.95 | Professional | TC · Technical part | $1,071.52 | $1,230.27 | $3,019.95 |
Fallon Health Setting Facility Modifier None Typical Low $131.83 Median $1,288.25 Typical High $1,737.80 | Facility | None | $131.83 | $1,288.25 | $1,737.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,318.26 Typical High $1,737.80 | Professional | None (both parts) | $134.90 | $1,318.26 | $1,737.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,905.46 Typical High $3,090.30 | Professional | None (both parts) | $912.01 | $1,905.46 | $3,090.30 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $204.17 Typical High $323.59 | Professional | 26 · Professional part | $109.65 | $204.17 | $323.59 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,819.70 Typical High $2,951.21 | Professional | TC · Technical part | $891.25 | $1,819.70 | $2,951.21 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $3,981.07 | Facility | None | $1,000.00 | $1,995.26 | $3,981.07 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $758.58 Median $3,311.31 Typical High $6,456.54 | Professional | None (both parts) | $758.58 | $3,311.31 | $6,456.54 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $331.13 Typical High $1,445.44 | Professional | 26 · Professional part | $107.15 | $331.13 | $1,445.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $3,162.28 Typical High $5,754.40 | Professional | TC · Technical part | $691.83 | $3,162.28 | $5,754.40 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $2,754.23 | Facility | None | $977.24 | $1,862.09 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,230.27 Typical High $3,388.44 | Professional | None (both parts) | $323.59 | $1,230.27 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $323.59 | Professional | 26 · Professional part | $107.15 | $138.04 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $1,096.48 Typical High $3,090.30 | Professional | TC · Technical part | $213.80 | $1,096.48 | $3,090.30 |
Well Sense Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,584.89 | Facility | None | $758.58 | $1,047.13 | $1,584.89 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $169.82 | Facility | 26 · Professional part | $72.44 | $95.50 | $169.82 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $691.83 Median $891.25 Typical High $1,621.81 | Facility | TC · Technical part | $691.83 | $891.25 | $1,621.81 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $630.96 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $630.96 | $758.58 | $758.58 |
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 $309.03 Median $309.03 Typical High $537.03 | Professional | 52 · Reduced service | $309.03 | $309.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $218.78 | Professional | 53 · Discontinued | $123.03 | $123.03 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $489.78 Median $489.78 Typical High $891.25 | Professional | FX · Film X-ray | $489.78 | $489.78 | $891.25 |
Where Massachusetts sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 13th of 51
$1,413
AK $3,802IN $692
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.