How much rates vary
Facilitymedian $427 · 10th to 90th $74 to $1,122Professionalmedian $437 · 10th to 90th $105 to $2,188
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 $295.12 Median $295.12 Typical High $1,174.90 | Facility | None | $295.12 | $295.12 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $295.12 | $295.12 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $128.82 | Professional | 26 · Professional part | $43.65 | $43.65 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $660.69 | Professional | TC · Technical part | $251.19 | $251.19 | $660.69 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $1,000.00 Typical High $1,258.93 | Facility | None | $338.84 | $1,000.00 | $1,258.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $263.03 Median $758.58 Typical High $2,187.76 | Professional | None (both parts) | $263.03 | $758.58 | $2,187.76 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $120.23 Typical High $354.81 | Professional | 26 · Professional part | $51.29 | $120.23 | $354.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $660.69 Typical High $1,819.70 | Professional | TC · Technical part | $218.78 | $660.69 | $1,819.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,047.13 | Facility | None | $524.81 | $758.58 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $338.84 | $416.87 | $446.68 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $89.13 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,122.02 Typical High $1,698.24 | Facility | None | $426.58 | $1,122.02 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $1,479.11 | Professional | None (both parts) | $436.52 | $489.78 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $223.87 | Professional | 26 · Professional part | $69.18 | $79.43 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $1,230.27 | Professional | TC · Technical part | $371.54 | $436.52 | $1,230.27 |
Fallon Health Setting Facility Modifier None Typical Low $70.79 Median $363.08 Typical High $524.81 | Facility | None | $70.79 | $363.08 | $524.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $70.79 | $371.54 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $323.59 Median $645.65 Typical High $1,148.15 | Professional | None (both parts) | $323.59 | $645.65 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $104.71 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $870.96 | Professional | TC · Technical part | $263.03 | $512.86 | $870.96 |
Health New England Setting Facility Modifier None Typical Low $426.58 Median $724.44 Typical High $1,148.15 | Facility | None | $426.58 | $724.44 | $1,148.15 |
Health New England Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $77.62 | $79.43 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $1,000.00 Typical High $1,258.93 | Facility | None | $338.84 | $1,000.00 | $1,258.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $263.03 Median $758.58 Typical High $2,187.76 | Professional | None (both parts) | $263.03 | $758.58 | $2,187.76 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $120.23 Typical High $354.81 | Professional | 26 · Professional part | $51.29 | $120.23 | $354.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $660.69 Typical High $1,819.70 | Professional | TC · Technical part | $218.78 | $660.69 | $1,819.70 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $512.86 Typical High $1,380.38 | Professional | None (both parts) | $229.09 | $512.86 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $213.80 | Professional | 26 · Professional part | $54.95 | $77.62 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $436.52 Typical High $1,174.90 | Professional | TC · Technical part | $165.96 | $436.52 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $537.03 | Facility | None | $263.03 | $363.08 | $537.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $95.50 | Facility | 26 · Professional part | $40.74 | $53.70 | $95.50 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $512.86 | Facility | TC · Technical part | $218.78 | $288.40 | $512.86 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $269.15 | $323.59 | $323.59 |
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 $147.91 Median $147.91 Typical High $181.97 | Professional | 52 · Reduced service | $147.91 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | 53 · Discontinued | $58.88 | $58.88 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | FX · Film X-ray | $234.42 | $234.42 | $331.13 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 23rd of 51
$437
AK $1,047KY $263
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.