How much rates vary
Facilitymedian $407 · 10th to 90th $49 to $1,000Professionalmedian $417 · 10th to 90th $98 to $2,042
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 $239.88 Median $269.15 Typical High $1,000.00 | Facility | None | $239.88 | $269.15 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $794.33 | Professional | None (both parts) | $239.88 | $239.88 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $30.90 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $213.80 | $707.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $831.76 Typical High $1,174.90 | Facility | None | $316.23 | $831.76 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $245.47 Median $707.95 Typical High $2,041.74 | Professional | None (both parts) | $245.47 | $707.95 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $79.43 Typical High $275.42 | Professional | 26 · Professional part | $33.11 | $79.43 | $275.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $660.69 Typical High $1,778.28 | Professional | TC · Technical part | $218.78 | $660.69 | $1,778.28 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $812.83 | Facility | None | $407.38 | $588.84 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $398.11 | $398.11 | $436.52 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $64.57 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $1,548.82 | Facility | None | $416.87 | $977.24 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $1,380.38 | Professional | None (both parts) | $407.38 | $436.52 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $53.70 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $407.38 Typical High $1,230.27 | Professional | TC · Technical part | $363.08 | $407.38 | $1,230.27 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $363.08 Typical High $489.78 | Facility | None | $46.77 | $363.08 | $489.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $46.77 | $363.08 | $489.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $295.12 Median $602.56 Typical High $1,000.00 | Professional | None (both parts) | $295.12 | $602.56 | $1,000.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $38.02 | $70.79 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $263.03 | $501.19 | $831.76 |
Health New England Setting Facility Modifier None Typical Low $331.13 Median $812.83 Typical High $1,380.38 | Facility | None | $331.13 | $812.83 | $1,380.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $302.00 | Professional | None (both parts) | $52.48 | $53.70 | $302.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $831.76 Typical High $1,174.90 | Facility | None | $316.23 | $831.76 | $1,174.90 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $245.47 Median $707.95 Typical High $2,041.74 | Professional | None (both parts) | $245.47 | $707.95 | $2,041.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $79.43 Typical High $275.42 | Professional | 26 · Professional part | $33.11 | $79.43 | $275.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $660.69 Typical High $1,778.28 | Professional | TC · Technical part | $218.78 | $660.69 | $1,778.28 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,584.89 | Facility | None | $562.34 | $1,047.13 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $467.74 Typical High $1,318.26 | Professional | None (both parts) | $213.80 | $467.74 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $144.54 | Professional | 26 · Professional part | $35.48 | $51.29 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $436.52 Typical High $1,174.90 | Professional | TC · Technical part | $169.82 | $436.52 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $501.19 | Facility | None | $245.47 | $338.84 | $501.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $63.10 | Facility | 26 · Professional part | $27.54 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $501.19 | Facility | TC · Technical part | $218.78 | $281.84 | $501.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $218.78 | $263.03 | $263.03 |
5 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 $120.23 Median $120.23 Typical High $169.82 | Professional | 52 · Reduced service | $120.23 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | 53 · Discontinued | $47.86 | $47.86 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $316.23 | Professional | FX · Film X-ray | $190.55 | $190.55 | $316.23 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $204.17 Median $251.19 Typical High $363.08 | Facility | 52 · Reduced service | $204.17 | $251.19 | $363.08 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $33.88 Typical High $51.29 | Professional | 52 · Reduced service | $26.30 | $33.88 | $51.29 |
Where Massachusetts sits
The same service costs 3.5 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· 21st of 51
$417
AK $933KY $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.