How much rates vary
Facilitymedian $1,622 · 10th to 90th $115 to $4,677Professionalmedian $1,778 · 10th to 90th $132 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 $1,905.46 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $173.78 | Professional | 26 · Professional part | $102.33 | $125.89 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,778.28 | Professional | TC · Technical part | $870.96 | $870.96 | $1,778.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $3,715.35 Typical High $5,011.87 | Facility | None | $1,621.81 | $3,715.35 | $5,011.87 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,290.87 Typical High $10,232.93 | Professional | None (both parts) | $977.24 | $2,290.87 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $190.55 Typical High $2,754.23 | Professional | 26 · Professional part | $74.13 | $190.55 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $3,548.13 Typical High $7,585.78 | Professional | TC · Technical part | $1,174.90 | $3,548.13 | $7,585.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,137.96 Median $3,890.45 Typical High $6,165.95 | Facility | None | $2,137.96 | $3,890.45 | $6,165.95 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,698.24 Typical High $2,454.71 | Professional | None (both parts) | $1,659.59 | $1,698.24 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,073.80 Typical High $6,456.54 | Facility | None | $676.08 | $4,073.80 | $6,456.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $758.58 Typical High $2,454.71 | Professional | None (both parts) | $724.44 | $758.58 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $112.20 Typical High $363.08 | Professional | 26 · Professional part | $109.65 | $112.20 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $645.65 Typical High $2,089.30 | Professional | TC · Technical part | $630.96 | $645.65 | $2,089.30 |
Fallon Health Setting Facility Modifier None Typical Low $104.71 Median $1,174.90 Typical High $2,137.96 | Facility | None | $104.71 | $1,174.90 | $2,137.96 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $1,380.38 Typical High $2,238.72 | Professional | None (both parts) | $109.65 | $1,380.38 | $2,238.72 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,630.27 Typical High $4,365.16 | Professional | None (both parts) | $1,380.38 | $2,630.27 | $4,365.16 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $162.18 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $162.18 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $2,454.71 Typical High $4,168.69 | Professional | TC · Technical part | $1,288.25 | $2,454.71 | $4,168.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,621.81 Median $3,715.35 Typical High $5,011.87 | Facility | None | $1,621.81 | $3,715.35 | $5,011.87 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,290.87 Typical High $10,232.93 | Professional | None (both parts) | $977.24 | $2,290.87 | $10,232.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $190.55 Typical High $2,754.23 | Professional | 26 · Professional part | $74.13 | $190.55 | $2,754.23 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $3,548.13 Typical High $7,585.78 | Professional | TC · Technical part | $1,174.90 | $3,548.13 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,801.89 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,801.89 | $5,623.41 |
United Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $2,137.96 Typical High $6,918.31 | Professional | None (both parts) | $1,202.26 | $2,137.96 | $6,918.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $323.59 | Professional | 26 · Professional part | $81.28 | $114.82 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $2,041.74 Typical High $6,606.93 | Professional | TC · Technical part | $1,122.02 | $2,041.74 | $6,606.93 |
Well Sense Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,318.26 | $2,041.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $141.25 | Facility | 26 · Professional part | $61.66 | $81.28 | $141.25 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,412.54 Typical High $2,691.53 | Facility | TC · Technical part | $1,174.90 | $1,412.54 | $2,691.53 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,258.93 | $1,513.56 | $1,513.56 |
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 15.1 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· 17th of 51
$1,698
NE $3,090WA $204
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.