How much rates vary
Facilitymedian $1,380 · 10th to 90th $98 to $4,169Professionalmedian $1,585 · 10th to 90th $115 to $10,233
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $3,311.31 Typical High $4,365.16 | Facility | None | $1,412.54 | $3,311.31 | $4,365.16 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,238.72 Typical High $10,232.93 | Professional | None (both parts) | $954.99 | $2,238.72 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $165.96 Typical High $3,162.28 | Professional | 26 · Professional part | $61.66 | $165.96 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $3,090.30 Typical High $7,585.78 | Professional | TC · Technical part | $1,096.48 | $3,090.30 | $7,585.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,905.46 Median $3,467.37 Typical High $5,495.41 | Facility | None | $1,905.46 | $3,467.37 | $5,495.41 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $1,445.44 | $1,698.24 | $2,137.96 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $79.43 | $128.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $4,073.80 Typical High $6,456.54 | Facility | None | $549.54 | $4,073.80 | $6,456.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $1,995.26 | Professional | None (both parts) | $562.34 | $616.60 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $309.03 | Professional | 26 · Professional part | $93.33 | $97.72 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $524.81 Typical High $1,659.59 | Professional | TC · Technical part | $478.63 | $524.81 | $1,659.59 |
Fallon Health Setting Facility Modifier None Typical Low $91.20 Median $691.83 Typical High $1,905.46 | Facility | None | $91.20 | $691.83 | $1,905.46 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $1,230.27 Typical High $1,949.84 | Professional | None (both parts) | $93.33 | $1,230.27 | $1,949.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,511.89 Typical High $3,715.35 | Professional | None (both parts) | $1,445.44 | $2,511.89 | $3,715.35 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $213.80 | Professional | 26 · Professional part | $72.44 | $138.04 | $213.80 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,187.76 Typical High $3,715.35 | Professional | TC · Technical part | $1,348.96 | $2,187.76 | $3,715.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,412.54 Median $3,311.31 Typical High $4,365.16 | Facility | None | $1,412.54 | $3,311.31 | $4,365.16 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,238.72 Typical High $10,232.93 | Professional | None (both parts) | $954.99 | $2,238.72 | $10,232.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $165.96 Typical High $3,162.28 | Professional | 26 · Professional part | $61.66 | $165.96 | $3,162.28 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $3,090.30 Typical High $7,585.78 | Professional | TC · Technical part | $1,096.48 | $3,090.30 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $5,128.61 | Facility | None | $1,819.70 | $3,388.44 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,905.46 Typical High $6,165.95 | Professional | None (both parts) | $1,412.54 | $1,905.46 | $6,165.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $275.42 | Professional | 26 · Professional part | $64.57 | $100.00 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,819.70 Typical High $5,888.44 | Professional | TC · Technical part | $1,348.96 | $1,819.70 | $5,888.44 |
Well Sense Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,778.28 | Facility | None | $1,000.00 | $1,174.90 | $1,778.28 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $120.23 | Facility | 26 · Professional part | $53.70 | $70.79 | $120.23 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,258.93 Typical High $2,398.83 | Facility | TC · Technical part | $1,047.13 | $1,258.93 | $2,398.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,023.29 | $1,230.27 | $1,230.27 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Where Massachusetts sits
The same service costs 4.4 times more in Nebraska than in Washington. 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
$1,549
NE $2,512WA $575
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.