How much rates vary
Facilitymedian $269 · 10th to 90th $59 to $3,388Professionalmedian $288 · 10th to 90th $83 to $1,445
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 $186.21 Median $186.21 Typical High $933.25 | Facility | None | $186.21 | $186.21 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $186.21 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $33.88 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $154.88 | $213.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $234.42 Median $741.31 Typical High $2,951.21 | Facility | None | $234.42 | $741.31 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $213.80 Median $478.63 Typical High $1,445.44 | Professional | None (both parts) | $213.80 | $478.63 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $97.72 Typical High $354.81 | Professional | 26 · Professional part | $38.90 | $97.72 | $354.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $416.87 Typical High $1,202.26 | Professional | TC · Technical part | $173.78 | $416.87 | $1,202.26 |
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 $204.17 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $204.17 | $269.15 | $323.59 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $77.62 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $1,174.90 Typical High $3,981.07 | Facility | None | $281.84 | $1,174.90 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $933.25 | Professional | None (both parts) | $281.84 | $323.59 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $173.78 | Professional | 26 · Professional part | $53.70 | $61.66 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $269.15 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $229.09 Typical High $338.84 | Facility | None | $56.23 | $229.09 | $338.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $56.23 | $229.09 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $245.47 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $245.47 | $416.87 | $891.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $83.18 | $138.04 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $331.13 | $537.03 |
Health New England Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $234.42 Median $741.31 Typical High $2,951.21 | Facility | None | $234.42 | $741.31 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $213.80 Median $478.63 Typical High $1,445.44 | Professional | None (both parts) | $213.80 | $478.63 | $1,445.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $97.72 Typical High $354.81 | Professional | 26 · Professional part | $38.90 | $97.72 | $354.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $416.87 Typical High $1,202.26 | Professional | TC · Technical part | $173.78 | $416.87 | $1,202.26 |
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 $239.88 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $239.88 | $323.59 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $165.96 | Professional | 26 · Professional part | $41.69 | $60.26 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $707.95 | Professional | TC · Technical part | $199.53 | $263.03 | $707.95 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $338.84 | Facility | None | $165.96 | $229.09 | $338.84 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $74.13 | Facility | 26 · Professional part | $31.62 | $41.69 | $74.13 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $309.03 | Facility | TC · Technical part | $131.83 | $173.78 | $309.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $199.53 | $239.88 | $239.88 |
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 $93.33 Median $93.33 Typical High $131.83 | Professional | 52 · Reduced service | $93.33 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $52.48 | Professional | 53 · Discontinued | $38.02 | $38.02 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | FX · Film X-ray | $151.36 | $151.36 | $208.93 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 32nd of 51
$282
AK $832TX $182
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.