How much rates vary
Facilitymedian $71 · 10th to 90th $16 to $182Professionalmedian $72 · 10th to 90th $19 to $347
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 $37.15 Median $60.26 Typical High $158.49 | Facility | None | $37.15 | $60.26 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $109.65 | Professional | None (both parts) | $37.15 | $37.15 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $9.55 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $81.28 | Professional | TC · Technical part | $27.54 | $27.54 | $81.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $154.88 Typical High $213.80 | Facility | None | $52.48 | $154.88 | $213.80 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $45.71 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $45.71 | $154.88 | $346.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $31.62 Typical High $147.91 | Professional | 26 · Professional part | $12.30 | $31.62 | $147.91 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $42.66 | $125.89 | $275.42 |
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 $51.29 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $51.29 | $52.48 | $52.48 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $12.88 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $162.18 Typical High $275.42 | Facility | None | $72.44 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $162.18 | Professional | None (both parts) | $56.23 | $72.44 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $14.45 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $138.04 | Professional | TC · Technical part | $44.67 | $58.88 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $15.14 Median $60.26 Typical High $89.13 | Facility | None | $15.14 | $60.26 | $89.13 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $15.14 | $61.66 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $54.95 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $54.95 | $95.50 | $165.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $12.59 | $19.95 | $35.48 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $43.65 | $74.13 | $131.83 |
Health New England Setting Facility Modifier None Typical Low $64.57 Median $257.04 Typical High $257.04 | Facility | None | $64.57 | $257.04 | $257.04 |
Health New England Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.05 Typical High $85.11 | Professional | None (both parts) | $16.60 | $19.05 | $85.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $154.88 Typical High $213.80 | Facility | None | $52.48 | $154.88 | $213.80 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $45.71 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $45.71 | $154.88 | $346.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $31.62 Typical High $147.91 | Professional | 26 · Professional part | $12.30 | $31.62 | $147.91 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $42.66 | $125.89 | $275.42 |
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 $45.71 Median $69.18 Typical High $128.82 | Professional | None (both parts) | $45.71 | $69.18 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $10.96 | $16.22 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $34.67 | $54.95 | $100.00 |
Well Sense Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $87.10 | Facility | None | $41.69 | $57.54 | $87.10 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $19.95 | Facility | 26 · Professional part | $8.51 | $11.22 | $19.95 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $77.62 | Facility | TC · Technical part | $33.11 | $43.65 | $77.62 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | None (both parts) | $37.15 | $37.15 | $44.67 |
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 $18.62 Median $18.62 Typical High $26.92 | Professional | 52 · Reduced service | $18.62 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $10.72 | Professional | 53 · Discontinued | $7.41 | $7.41 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $40.74 | Professional | FX · Film X-ray | $29.51 | $29.51 | $40.74 |
Where Massachusetts sits
The same service costs 4.5 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· 16th of 51
$72.44
AK $148UT $33.11
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.