How much rates vary
Facilitymedian $40 · 10th to 90th $13 to $138Professionalmedian $44 · 10th to 90th $23 to $209
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 $23.44 Median $47.86 Typical High $100.00 | Facility | None | $23.44 | $47.86 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $58.88 | Professional | None (both parts) | $23.44 | $23.44 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $7.94 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $42.66 | Professional | TC · Technical part | $15.14 | $15.14 | $42.66 |
AllWays Health Partners Setting Facility Modifier None Typical Low $28.18 Median $114.82 Typical High $154.88 | Facility | None | $28.18 | $114.82 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $31.62 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $31.62 | $91.20 | $208.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $26.92 Typical High $81.28 | Professional | 26 · Professional part | $10.23 | $26.92 | $81.28 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $66.07 Typical High $194.98 | Professional | TC · Technical part | $23.44 | $66.07 | $194.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Facility | None | $70.79 | $104.71 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None (both parts) | $27.54 | $27.54 | $27.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $10.96 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $162.18 Typical High $275.42 | Facility | None | $63.10 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $100.00 | Professional | None (both parts) | $38.02 | $43.65 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $28.84 | Professional | 26 · Professional part | $11.48 | $12.30 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $74.13 | Professional | TC · Technical part | $29.51 | $31.62 | $74.13 |
Fallon Health Setting Facility Modifier None Typical Low $12.88 Median $32.36 Typical High $52.48 | Facility | None | $12.88 | $32.36 | $52.48 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $12.88 | $33.88 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $107.15 | Professional | None (both parts) | $33.11 | $48.98 | $107.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $15.14 | $30.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $40.74 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Health New England Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $28.18 Median $114.82 Typical High $154.88 | Facility | None | $28.18 | $114.82 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $31.62 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $31.62 | $91.20 | $208.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $26.92 Typical High $81.28 | Professional | 26 · Professional part | $10.23 | $26.92 | $81.28 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $66.07 Typical High $194.98 | Professional | TC · Technical part | $23.44 | $66.07 | $194.98 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $43.65 Typical High $77.62 | Professional | None (both parts) | $31.62 | $43.65 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $8.71 | $13.49 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $30.20 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $37.15 Typical High $52.48 | Facility | None | $30.20 | $37.15 | $52.48 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $16.98 | Facility | 26 · Professional part | $7.24 | $9.55 | $16.98 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $42.66 | Facility | TC · Technical part | $18.20 | $25.12 | $42.66 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None (both parts) | $22.91 | $22.91 | $27.54 |
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 $11.48 Median $11.48 Typical High $16.22 | Professional | 52 · Reduced service | $11.48 | $11.48 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $6.46 | Professional | 53 · Discontinued | $4.68 | $4.68 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | FX · Film X-ray | $18.62 | $18.62 | $25.12 |
Where Massachusetts sits
The same service costs 3.8 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· 18th of 51
$43.65
AK $95.50FL $25.12
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.