How much rates vary
Facilitymedian $417 · 10th to 90th $39 to $1,072Professionalmedian $417 · 10th to 90th $55 to $2,042
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 $281.84 Median $281.84 Typical High $1,071.52 | Facility | None | $281.84 | $281.84 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $741.31 | Professional | None (both parts) | $281.84 | $281.84 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $69.18 | Professional | 26 · Professional part | $22.91 | $22.91 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $676.08 | Professional | TC · Technical part | $263.03 | $263.03 | $676.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $1,000.00 Typical High $1,202.26 | Facility | None | $338.84 | $1,000.00 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $251.19 Median $724.44 Typical High $2,041.74 | Professional | None (both parts) | $251.19 | $724.44 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $66.07 Typical High $263.03 | Professional | 26 · Professional part | $26.92 | $66.07 | $263.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $691.83 Typical High $1,862.09 | Professional | TC · Technical part | $229.09 | $691.83 | $1,862.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,047.13 | Facility | None | $524.81 | $758.58 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $2,754.23 | Facility | None | $436.52 | $1,148.15 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $467.74 Typical High $1,412.54 | Professional | None (both parts) | $416.87 | $467.74 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $42.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $446.68 Typical High $1,288.25 | Professional | TC · Technical part | $389.05 | $446.68 | $1,288.25 |
Fallon Health Setting Facility Modifier None Typical Low $37.15 Median $380.19 Typical High $489.78 | Facility | None | $37.15 | $380.19 | $489.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $37.15 | $380.19 | $489.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $302.00 Median $616.60 Typical High $1,148.15 | Professional | None (both parts) | $302.00 | $616.60 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $54.95 | $93.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $524.81 Typical High $891.25 | Professional | TC · Technical part | $275.42 | $524.81 | $891.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $1,000.00 Typical High $1,202.26 | Facility | None | $338.84 | $1,000.00 | $1,202.26 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $251.19 Median $724.44 Typical High $2,041.74 | Professional | None (both parts) | $251.19 | $724.44 | $2,041.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $66.07 Typical High $263.03 | Professional | 26 · Professional part | $26.92 | $66.07 | $263.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $691.83 Typical High $1,862.09 | Professional | TC · Technical part | $229.09 | $691.83 | $1,862.09 |
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 $138.04 Median $489.78 Typical High $1,348.96 | Professional | None (both parts) | $138.04 | $489.78 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $112.20 | Professional | 26 · Professional part | $28.18 | $40.74 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $457.09 Typical High $1,230.27 | Professional | TC · Technical part | $104.71 | $457.09 | $1,230.27 |
Well Sense Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $512.86 | Facility | None | $251.19 | $346.74 | $512.86 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $50.12 | Facility | 26 · Professional part | $21.88 | $28.18 | $50.12 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $537.03 | Facility | TC · Technical part | $229.09 | $295.12 | $537.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $239.88 | $288.40 | $288.40 |
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 $141.25 Median $141.25 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | 53 · Discontinued | $57.54 | $57.54 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | FX · Film X-ray | $229.09 | $229.09 | $316.23 |
Where Massachusetts sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 23rd of 51
$417
AK $1,202IN $245
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.