How much rates vary
Facilitymedian $275 · 10th to 90th $62 to $1,175Professionalmedian $295 · 10th to 90th $123 to $1,549
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 $190.55 Median $954.99 Typical High $1,905.46 | Facility | None | $190.55 | $954.99 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $190.55 | $190.55 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $35.48 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $154.88 | $154.88 | $316.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $758.58 Typical High $851.14 | Facility | None | $239.88 | $758.58 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $218.78 Median $489.78 Typical High $1,548.82 | Professional | None (both parts) | $218.78 | $489.78 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $524.81 | Professional | 26 · Professional part | $41.69 | $104.71 | $524.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $416.87 Typical High $1,258.93 | Professional | TC · Technical part | $173.78 | $416.87 | $1,258.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,584.89 | Facility | None | $549.54 | $1,000.00 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $204.17 | $288.40 | $371.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $74.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $851.14 Typical High $1,862.09 | Facility | None | $288.40 | $851.14 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $954.99 | Professional | None (both parts) | $281.84 | $323.59 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $66.07 | $186.21 |
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 $58.88 Median $234.42 Typical High $346.74 | Facility | None | $58.88 | $234.42 | $346.74 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $58.88 | $234.42 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $251.19 | $426.58 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $89.13 | $147.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $549.54 | Professional | TC · Technical part | $194.98 | $331.13 | $549.54 |
Health New England Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $758.58 Typical High $851.14 | Facility | None | $239.88 | $758.58 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $218.78 Median $489.78 Typical High $1,548.82 | Professional | None (both parts) | $218.78 | $489.78 | $1,548.82 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $524.81 | Professional | 26 · Professional part | $41.69 | $104.71 | $524.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $416.87 Typical High $1,258.93 | Professional | TC · Technical part | $173.78 | $416.87 | $1,258.93 |
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 $257.04 Median $331.13 Typical High $912.01 | Professional | None (both parts) | $257.04 | $331.13 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $177.83 | Professional | 26 · Professional part | $44.67 | $63.10 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $275.42 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $346.74 | Facility | None | $165.96 | $234.42 | $346.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $77.62 | Facility | 26 · Professional part | $33.88 | $43.65 | $77.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $309.03 | Facility | TC · Technical part | $134.90 | $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 $95.50 Median $95.50 Typical High $128.82 | Professional | 52 · Reduced service | $95.50 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $51.29 | Professional | 53 · Discontinued | $38.02 | $38.02 | $51.29 |
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 3.5 times more in Wisconsin 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· 30th of 51
$288
WI $676TX $191
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.