How much rates vary
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 $125.89 Median $125.89 Typical High $269.15 | Professional | 26 · Professional part | $125.89 | $125.89 | $269.15 |
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 $1,905.46 Median $4,570.88 Typical High $6,025.60 | Facility | None | $1,905.46 | $4,570.88 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $3,890.45 Typical High $9,332.54 | Professional | None (both parts) | $1,548.82 | $3,890.45 | $9,332.54 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $251.19 Typical High $1,230.27 | Professional | 26 · Professional part | $95.50 | $251.19 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $3,630.78 Typical High $6,309.57 | Professional | TC · Technical part | $1,348.96 | $3,630.78 | $6,309.57 |
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 $1,905.46 Median $2,511.89 Typical High $4,897.79 | Professional | None (both parts) | $1,905.46 | $2,511.89 | $4,897.79 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $199.53 Typical High $316.23 | Professional | 26 · Professional part | $123.03 | $199.53 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $4,073.80 Typical High $6,456.54 | Facility | None | $1,258.93 | $4,073.80 | $6,456.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,380.38 Typical High $4,365.16 | Professional | None (both parts) | $1,348.96 | $1,380.38 | $4,365.16 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $154.88 Typical High $478.63 | Professional | 26 · Professional part | $147.91 | $154.88 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,230.27 Typical High $3,890.45 | Professional | TC · Technical part | $1,202.26 | $1,230.27 | $3,890.45 |
Fallon Health Setting Facility Modifier None Typical Low $141.25 Median $1,513.56 Typical High $2,630.27 | Facility | None | $141.25 | $1,513.56 | $2,630.27 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,698.24 Typical High $2,691.53 | Professional | None (both parts) | $144.54 | $1,698.24 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $3,235.94 Typical High $4,786.30 | Professional | None (both parts) | $1,862.09 | $3,235.94 | $4,786.30 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $213.80 Typical High $331.13 | Professional | 26 · Professional part | $112.20 | $213.80 | $331.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $3,019.95 Typical High $4,570.88 | Professional | TC · Technical part | $1,737.80 | $3,019.95 | $4,570.88 |
Health New England Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,801.89 | Facility | None | $3,630.78 | $3,630.78 | $3,801.89 |
Health New England Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $239.88 | $281.84 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,905.46 Median $4,570.88 Typical High $6,025.60 | Facility | None | $1,905.46 | $4,570.88 | $6,025.60 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $3,890.45 Typical High $9,332.54 | Professional | None (both parts) | $1,548.82 | $3,890.45 | $9,332.54 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $251.19 Typical High $1,230.27 | Professional | 26 · Professional part | $95.50 | $251.19 | $1,230.27 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $3,630.78 Typical High $6,309.57 | Professional | TC · Technical part | $1,348.96 | $3,630.78 | $6,309.57 |
Tufts Setting Facility Modifier None Typical Low $489.78 Median $1,778.28 Typical High $4,168.69 | Facility | None | $489.78 | $1,778.28 | $4,168.69 |
Tufts Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,047.13 Typical High $1,202.26 | Professional | None (both parts) | $371.54 | $1,047.13 | $1,202.26 |
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 $1,862.09 Median $2,238.72 Typical High $6,918.31 | Professional | None (both parts) | $1,862.09 | $2,238.72 | $6,918.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $158.49 Typical High $426.58 | Professional | 26 · Professional part | $102.33 | $158.49 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,137.96 Typical High $6,606.93 | Professional | TC · Technical part | $1,698.24 | $2,137.96 | $6,606.93 |
Well Sense Setting Facility Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,380.38 | $1,621.81 | $2,818.38 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $190.55 | Facility | 26 · Professional part | $83.18 | $109.65 | $190.55 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,513.56 Typical High $2,691.53 | Facility | TC · Technical part | $1,174.90 | $1,513.56 | $2,691.53 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $954.99 | $1,148.15 | $1,148.15 |
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 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 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,905.46 Typical High $3,019.95 | Facility | 52 · Reduced service | $1,096.48 | $1,905.46 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $104.71 Typical High $158.49 | Professional | 52 · Reduced service | $81.28 | $104.71 | $158.49 |
Where Massachusetts sits
The same service costs 21.9 times more in Minnesota 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· 15th of 51
$2,138
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.