How much rates vary
Facilitymedian $1,318 · 10th to 90th $135 to $2,239Professionalmedian $1,549 · 10th to 90th $269 to $6,918
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 $812.83 Median $812.83 Typical High $3,090.30 | Facility | None | $812.83 | $812.83 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $812.83 | $812.83 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $79.43 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $1,096.48 | Professional | TC · Technical part | $741.31 | $741.31 | $1,096.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,819.70 | $4,073.80 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $851.14 Median $3,548.13 Typical High $6,918.31 | Professional | None (both parts) | $851.14 | $3,548.13 | $6,918.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $323.59 Typical High $1,148.15 | Professional | 26 · Professional part | $102.33 | $323.59 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $3,630.78 Typical High $6,309.57 | Professional | TC · Technical part | $794.33 | $3,630.78 | $6,309.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $1,862.09 | Facility | None | $588.84 | $831.76 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $3,548.13 | Facility | None | $588.84 | $1,548.82 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,513.56 Typical High $3,715.35 | Professional | None (both parts) | $1,288.25 | $1,513.56 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $302.00 | Professional | 26 · Professional part | $114.82 | $138.04 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,412.54 Typical High $3,467.37 | Professional | TC · Technical part | $1,230.27 | $1,412.54 | $3,467.37 |
Fallon Health Setting Facility Modifier None Typical Low $125.89 Median $1,348.96 Typical High $1,778.28 | Facility | None | $125.89 | $1,348.96 | $1,778.28 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $1,380.38 Typical High $1,778.28 | Professional | None (both parts) | $128.82 | $1,380.38 | $1,778.28 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,778.28 Typical High $3,388.44 | Professional | None (both parts) | $1,071.52 | $1,778.28 | $3,388.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $190.55 Typical High $309.03 | Professional | 26 · Professional part | $104.71 | $190.55 | $309.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,905.46 Typical High $3,235.94 | Professional | TC · Technical part | $1,000.00 | $1,905.46 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,819.70 | $4,073.80 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $851.14 Median $3,548.13 Typical High $6,918.31 | Professional | None (both parts) | $851.14 | $3,548.13 | $6,918.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $323.59 Typical High $1,148.15 | Professional | 26 · Professional part | $102.33 | $323.59 | $1,148.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $3,630.78 Typical High $6,309.57 | Professional | TC · Technical part | $794.33 | $3,630.78 | $6,309.57 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,445.44 Typical High $2,187.76 | Facility | None | $776.25 | $1,445.44 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,548.82 Typical High $3,890.45 | Professional | None (both parts) | $323.59 | $1,548.82 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $316.23 | Professional | 26 · Professional part | $102.33 | $131.83 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $1,412.54 Typical High $3,548.13 | Professional | TC · Technical part | $213.80 | $1,412.54 | $3,548.13 |
Well Sense Setting Facility Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,778.28 | Facility | None | $851.14 | $1,202.26 | $1,778.28 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $165.96 | Facility | 26 · Professional part | $72.44 | $93.33 | $165.96 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $1,023.29 Typical High $1,819.70 | Facility | TC · Technical part | $794.33 | $1,023.29 | $1,819.70 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $741.31 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $741.31 | $891.25 | $891.25 |
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 $407.38 Median $407.38 Typical High $602.56 | Professional | 52 · Reduced service | $407.38 | $407.38 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $245.47 | Professional | 53 · Discontinued | $162.18 | $162.18 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $645.65 Typical High $1,148.15 | Professional | FX · Film X-ray | $645.65 | $645.65 | $1,148.15 |
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· 15th of 51
$1,479
AK $4,365IN $794
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.