How much rates vary
Facilitymedian $1,660 · 10th to 90th $93 to $4,786Professionalmedian $1,820 · 10th to 90th $107 to $9,550
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 $2,344.23 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $125.89 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $2,238.72 | Professional | TC · Technical part | $870.96 | $870.96 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $5,248.07 | Facility | None | $1,698.24 | $3,981.07 | $5,248.07 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,290.87 Typical High $9,549.93 | Professional | None (both parts) | $912.01 | $2,290.87 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $151.36 Typical High $3,235.94 | Professional | 26 · Professional part | $58.88 | $151.36 | $3,235.94 |
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 $1,698.24 Median $1,737.80 Typical High $2,630.27 | Professional | None (both parts) | $1,698.24 | $1,737.80 | $2,630.27 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $123.03 Typical High $190.55 | Professional | 26 · Professional part | $74.13 | $123.03 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $4,073.80 Typical High $6,456.54 | Facility | None | $776.25 | $4,073.80 | $6,456.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $831.76 Typical High $2,691.53 | Professional | None (both parts) | $812.83 | $831.76 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $295.12 | Professional | 26 · Professional part | $89.13 | $93.33 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $741.31 Typical High $2,398.83 | Professional | TC · Technical part | $707.95 | $741.31 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $85.11 Median $933.25 Typical High $2,290.87 | Facility | None | $85.11 | $933.25 | $2,290.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $1,479.11 Typical High $2,398.83 | Professional | None (both parts) | $89.13 | $1,479.11 | $2,398.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,818.38 Typical High $4,365.16 | Professional | None (both parts) | $1,479.11 | $2,818.38 | $4,365.16 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $128.82 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,511.89 Typical High $4,168.69 | Professional | TC · Technical part | $1,412.54 | $2,511.89 | $4,168.69 |
Health New England Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $5,248.07 | Facility | None | $1,698.24 | $3,981.07 | $5,248.07 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,290.87 Typical High $9,549.93 | Professional | None (both parts) | $912.01 | $2,290.87 | $9,549.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $151.36 Typical High $3,235.94 | Professional | 26 · Professional part | $58.88 | $151.36 | $3,235.94 |
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 $1,148.15 Median $2,137.96 Typical High $6,760.83 | Professional | None (both parts) | $1,148.15 | $2,137.96 | $6,760.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $263.03 | Professional | 26 · Professional part | $63.10 | $95.50 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $2,041.74 Typical High $6,606.93 | Professional | TC · Technical part | $1,071.52 | $2,041.74 | $6,606.93 |
Well Sense Setting Facility Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,348.96 | $2,187.76 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $114.82 | Facility | 26 · Professional part | $51.29 | $66.07 | $114.82 |
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 $912.01 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $912.01 | $1,096.48 | $1,096.48 |
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 3.6 times more in Nebraska than in Montana. 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· 16th of 51
$1,820
NE $3,162MT $871
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.