How much rates vary
Facilitymedian $50 · 10th to 90th $12 to $229Professionalmedian $52 · 10th to 90th $27 to $251
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 $26.92 Median $26.92 Typical High $109.65 | Facility | None | $26.92 | $26.92 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $41.69 | Professional | None (both parts) | $26.92 | $26.92 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $9.77 | Professional | 26 · Professional part | $6.76 | $6.76 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $30.90 | Professional | TC · Technical part | $19.95 | $19.95 | $30.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $141.25 Typical High $288.40 | Facility | None | $38.02 | $141.25 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $33.88 Median $112.20 Typical High $251.19 | Professional | None (both parts) | $33.88 | $112.20 | $251.19 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $23.44 Typical High $54.95 | Professional | 26 · Professional part | $9.12 | $23.44 | $54.95 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $30.20 | $91.20 | $194.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $9.77 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $199.53 Typical High $426.58 | Facility | None | $63.10 | $199.53 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $125.89 | Professional | None (both parts) | $39.81 | $52.48 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $10.96 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $100.00 | Professional | TC · Technical part | $32.36 | $41.69 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $42.66 Typical High $64.57 | Facility | None | $11.48 | $42.66 | $64.57 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $11.48 | $44.67 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $38.90 Median $64.57 Typical High $128.82 | Professional | None (both parts) | $38.90 | $64.57 | $128.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $9.55 | $14.45 | $26.92 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $30.90 | $54.95 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $141.25 Typical High $288.40 | Facility | None | $38.02 | $141.25 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $33.88 Median $112.20 Typical High $251.19 | Professional | None (both parts) | $33.88 | $112.20 | $251.19 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $23.44 Typical High $54.95 | Professional | 26 · Professional part | $9.12 | $23.44 | $54.95 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $30.20 | $91.20 | $194.98 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $33.88 | $50.12 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $12.02 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $25.70 | $39.81 | $70.79 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $63.10 | Facility | None | $30.20 | $42.66 | $63.10 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $15.14 | Facility | 26 · Professional part | $6.46 | $8.51 | $15.14 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $56.23 | Facility | TC · Technical part | $23.99 | $31.62 | $56.23 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | None (both parts) | $26.30 | $26.30 | $31.62 |
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 $13.49 Median $13.49 Typical High $19.05 | Professional | 52 · Reduced service | $13.49 | $13.49 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $7.59 | Professional | 53 · Discontinued | $5.37 | $5.37 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | FX · Film X-ray | $21.38 | $21.38 | $30.20 |
Where Massachusetts sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$52.48
AK $112FL $28.84
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.