How much rates vary
Facilitymedian $58 · 10th to 90th $11 to $479Professionalmedian $58 · 10th to 90th $26 to $245
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 $30.90 Median $64.57 Typical High $114.82 | Facility | None | $30.90 | $64.57 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | None (both parts) | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $8.71 | Professional | 26 · Professional part | $6.31 | $6.31 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | TC · Technical part | $24.55 | $24.55 | $31.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.90 Median $154.88 Typical High $1,148.15 | Facility | None | $38.90 | $154.88 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $30.90 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $30.90 | $123.03 | $245.47 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $22.39 Typical High $58.88 | Professional | 26 · Professional part | $8.32 | $22.39 | $58.88 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $25.12 | $104.71 | $194.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $524.81 | Facility | None | $263.03 | $380.19 | $524.81 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $38.90 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $218.78 Typical High $758.58 | Facility | None | $52.48 | $218.78 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $56.23 Typical High $123.03 | Professional | None (both parts) | $35.48 | $56.23 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.23 Typical High $22.91 | Professional | 26 · Professional part | $9.55 | $10.23 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $45.71 Typical High $100.00 | Professional | TC · Technical part | $29.51 | $45.71 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $50.12 Typical High $70.79 | Facility | None | $10.72 | $50.12 | $70.79 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $10.72 | $50.12 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $39.81 | $75.86 | $141.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.13 Typical High $25.12 | Professional | 26 · Professional part | $8.51 | $14.13 | $25.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $51.29 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.90 Median $154.88 Typical High $1,148.15 | Facility | None | $38.90 | $154.88 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $30.90 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $30.90 | $123.03 | $245.47 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $22.39 Typical High $58.88 | Professional | 26 · Professional part | $8.32 | $22.39 | $58.88 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $25.12 | $104.71 | $194.98 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $53.70 Typical High $97.72 | Professional | None (both parts) | $28.18 | $53.70 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.23 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $43.65 Typical High $83.18 | Professional | TC · Technical part | $19.95 | $43.65 | $83.18 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $64.57 | Facility | None | $30.90 | $42.66 | $64.57 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.75 Median $7.41 Typical High $13.18 | Facility | 26 · Professional part | $5.75 | $7.41 | $13.18 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $58.88 | Facility | TC · Technical part | $25.12 | $33.11 | $58.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None (both parts) | $28.18 | $28.18 | $33.88 |
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 $15.14 Median $15.14 Typical High $19.95 | Professional | 52 · Reduced service | $15.14 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.94 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | FX · Film X-ray | $24.55 | $24.55 | $31.62 |
Where Massachusetts sits
The same service costs 3.6 times more in Alaska than in Utah. 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
$57.54
AK $115UT $31.62
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.