How much rates vary
Facilitymedian $891 · 10th to 90th $589 to $2,512Professionalmedian $1,202 · 10th to 90th $661 to $6,310
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 $660.69 Median $660.69 Typical High $2,630.27 | Facility | None | $660.69 | $660.69 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,122.02 | Professional | None (both parts) | $660.69 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $660.69 | Professional | 26 · Professional part | $426.58 | $426.58 | $660.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $912.01 | Professional | TC · Technical part | $234.42 | $234.42 | $912.01 |
AllWays Health Partners Setting Facility Modifier None Typical Low $575.44 Median $2,570.40 Typical High $3,467.37 | Facility | None | $575.44 | $2,570.40 | $3,467.37 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $812.83 Median $3,019.95 Typical High $6,309.57 | Professional | None (both parts) | $812.83 | $3,019.95 | $6,309.57 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $1,548.82 Typical High $5,011.87 | Professional | 26 · Professional part | $501.19 | $1,548.82 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,698.24 Typical High $4,168.69 | Professional | TC · Technical part | $363.08 | $1,698.24 | $4,168.69 |
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 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $1,122.02 | Professional | 26 · Professional part | $524.81 | $524.81 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,202.26 Typical High $5,248.07 | Facility | None | $724.44 | $1,202.26 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,288.25 Typical High $3,019.95 | Professional | None (both parts) | $1,122.02 | $1,288.25 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $676.08 Typical High $1,445.44 | Professional | 26 · Professional part | $549.54 | $676.08 | $1,445.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $602.56 Typical High $1,584.89 | Professional | TC · Technical part | $575.44 | $602.56 | $1,584.89 |
Fallon Health Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $1,548.82 | Facility | None | $562.34 | $758.58 | $1,548.82 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $776.25 Typical High $1,548.82 | Professional | None (both parts) | $575.44 | $776.25 | $1,548.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,737.80 Typical High $2,884.03 | Professional | None (both parts) | $933.25 | $1,737.80 | $2,884.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $912.01 Typical High $1,479.11 | Professional | 26 · Professional part | $549.54 | $912.01 | $1,479.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $977.24 Typical High $1,584.89 | Professional | TC · Technical part | $446.68 | $977.24 | $1,584.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $575.44 Median $2,570.40 Typical High $3,467.37 | Facility | None | $575.44 | $2,570.40 | $3,467.37 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $812.83 Median $3,019.95 Typical High $6,309.57 | Professional | None (both parts) | $812.83 | $3,019.95 | $6,309.57 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $1,548.82 Typical High $5,011.87 | Professional | 26 · Professional part | $501.19 | $1,548.82 | $5,011.87 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,698.24 Typical High $4,168.69 | Professional | TC · Technical part | $363.08 | $1,698.24 | $4,168.69 |
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 $891.25 Median $1,202.26 Typical High $3,162.28 | Professional | None (both parts) | $891.25 | $1,202.26 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $616.60 Typical High $1,513.56 | Professional | 26 · Professional part | $512.86 | $616.60 | $1,513.56 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $588.84 Typical High $1,698.24 | Professional | TC · Technical part | $269.15 | $588.84 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $977.24 Typical High $1,445.44 | Facility | None | $707.95 | $977.24 | $1,445.44 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $346.74 Median $446.68 Typical High $794.33 | Facility | 26 · Professional part | $346.74 | $446.68 | $794.33 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $467.74 Typical High $851.14 | Facility | TC · Technical part | $363.08 | $467.74 | $851.14 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $645.65 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $645.65 | $776.25 | $776.25 |
4 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 $331.13 Median $331.13 Typical High $416.87 | Professional | 52 · Reduced service | $331.13 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | 53 · Discontinued | $131.83 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | FX · Film X-ray | $524.81 | $524.81 | $645.65 |
Where Massachusetts sits
The same service costs 5.6 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· 20th of 51
$1,148
AK $3,715FL $661
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.