How much rates vary
Facilitymedian $22 · 10th to 90th $12 to $138Professionalmedian $26 · 10th to 90th $13 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 $15.49 Median $15.49 Typical High $74.13 | Facility | None | $15.49 | $15.49 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $33.88 | Professional | None (both parts) | $15.49 | $15.49 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $8.32 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $7.08 Typical High $17.78 | Professional | TC · Technical part | $7.08 | $7.08 | $17.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.02 Median $69.18 Typical High $154.88 | Facility | None | $12.02 | $69.18 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $18.62 Median $52.48 Typical High $208.93 | Professional | None (both parts) | $18.62 | $52.48 | $208.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $27.54 Typical High $109.65 | Professional | 26 · Professional part | $10.47 | $27.54 | $109.65 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $28.84 Typical High $134.90 | Professional | TC · Technical part | $9.77 | $28.84 | $134.90 |
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 $10.23 Median $11.48 Typical High $19.50 | Professional | None (both parts) | $10.23 | $11.48 | $19.50 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | 26 · Professional part | $11.22 | $11.22 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $138.04 Typical High $223.87 | Facility | None | $43.65 | $138.04 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.12 Typical High $54.95 | Professional | None (both parts) | $23.99 | $25.12 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $28.84 | Professional | 26 · Professional part | $12.02 | $12.88 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.59 Typical High $26.30 | Professional | TC · Technical part | $12.02 | $12.59 | $26.30 |
Fallon Health Setting Facility Modifier None Typical Low $11.75 Median $15.49 Typical High $31.62 | Facility | None | $11.75 | $15.49 | $31.62 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $16.22 Typical High $31.62 | Professional | None (both parts) | $12.30 | $16.22 | $31.62 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $11.75 Median $25.12 Typical High $58.88 | Professional | None (both parts) | $11.75 | $25.12 | $58.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $10.72 | $21.38 | $31.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $10.23 | $21.88 | $30.90 |
Health New England Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Health New England Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | None (both parts) | $18.62 | $18.62 | $19.05 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.02 Median $69.18 Typical High $154.88 | Facility | None | $12.02 | $69.18 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $18.62 Median $52.48 Typical High $208.93 | Professional | None (both parts) | $18.62 | $52.48 | $208.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $27.54 Typical High $109.65 | Professional | 26 · Professional part | $10.47 | $27.54 | $109.65 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $28.84 Typical High $134.90 | Professional | TC · Technical part | $9.77 | $28.84 | $134.90 |
Tufts Setting Facility Modifier None Typical Low $147.91 Median $426.58 Typical High $426.58 | Facility | None | $147.91 | $426.58 | $426.58 |
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 $19.50 Median $26.92 Typical High $51.29 | Professional | None (both parts) | $19.50 | $26.92 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.13 Typical High $25.12 | Professional | 26 · Professional part | $9.33 | $14.13 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $12.30 Typical High $28.84 | Professional | TC · Technical part | $9.12 | $12.30 | $28.84 |
Well Sense Setting Facility Modifier None Typical Low $7.94 Median $17.38 Typical High $27.54 | Facility | None | $7.94 | $17.38 | $27.54 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $16.98 | Facility | 26 · Professional part | $7.24 | $9.33 | $16.98 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $6.61 Median $9.12 Typical High $15.49 | Facility | TC · Technical part | $6.61 | $9.12 | $15.49 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $20.42 | Professional | None (both parts) | $16.98 | $16.98 | $20.42 |
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 $7.76 Median $7.76 Typical High $10.96 | Professional | 52 · Reduced service | $7.76 | $7.76 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $4.37 | Professional | 53 · Discontinued | $3.09 | $3.09 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.30 Median $12.30 Typical High $17.38 | Professional | FX · Film X-ray | $12.30 | $12.30 | $17.38 |
Where Massachusetts sits
The same service costs 3.6 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· 20th of 51
$26.30
AK $56.23FL $15.49
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.