How much rates vary
Facilitymedian $74 · 10th to 90th $19 to $263Professionalmedian $74 · 10th to 90th $22 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 $34.67 Median $57.54 Typical High $112.20 | Facility | None | $34.67 | $57.54 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $117.49 | Professional | None (both parts) | $34.67 | $44.67 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $30.90 | Professional | 26 · Professional part | $11.75 | $13.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $87.10 | Professional | TC · Technical part | $22.91 | $30.90 | $87.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $199.53 Typical High $288.40 | Facility | None | $51.29 | $199.53 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $50.12 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $50.12 | $158.49 | $346.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $35.48 Typical High $117.49 | Professional | 26 · Professional part | $14.13 | $35.48 | $117.49 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $40.74 | $125.89 | $257.04 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $44.67 Median $162.18 Typical High $229.09 | Facility | None | $44.67 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $14.45 | $24.55 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $89.13 | Professional | TC · Technical part | $52.48 | $52.48 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $426.58 | Facility | None | $107.15 | $199.53 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $74.13 Typical High $169.82 | Professional | None (both parts) | $60.26 | $74.13 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.60 Typical High $38.90 | Professional | 26 · Professional part | $16.22 | $16.60 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $131.83 | Professional | TC · Technical part | $46.77 | $57.54 | $131.83 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $60.26 Typical High $91.20 | Facility | None | $17.38 | $60.26 | $91.20 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $17.38 | $63.10 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $56.23 | $89.13 | $181.97 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $15.14 | $24.55 | $40.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $43.65 | $77.62 | $138.04 |
Health New England Setting Facility Modifier None Typical Low $85.11 Median $190.55 Typical High $380.19 | Facility | None | $85.11 | $190.55 | $380.19 |
Health New England Setting Professional Modifier None (both parts) Typical Low $19.05 Median $27.54 Typical High $107.15 | Professional | None (both parts) | $19.05 | $27.54 | $107.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $199.53 Typical High $288.40 | Facility | None | $51.29 | $199.53 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $50.12 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $50.12 | $158.49 | $346.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $35.48 Typical High $117.49 | Professional | 26 · Professional part | $14.13 | $35.48 | $117.49 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $40.74 | $125.89 | $257.04 |
Tufts Setting Facility Modifier None Typical Low $42.66 Median $134.90 Typical High $338.84 | Facility | None | $42.66 | $134.90 | $338.84 |
Tufts Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $42.66 | $61.66 | $102.33 |
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 $50.12 Median $70.79 Typical High $125.89 | Professional | None (both parts) | $50.12 | $70.79 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $33.11 | Professional | 26 · Professional part | $13.80 | $18.20 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $37.15 | $52.48 | $100.00 |
Well Sense Setting Facility Modifier None Typical Low $41.69 Median $58.88 Typical High $87.10 | Facility | None | $41.69 | $58.88 | $87.10 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $22.91 | Facility | 26 · Professional part | $9.77 | $12.59 | $22.91 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $75.86 | Facility | TC · Technical part | $32.36 | $41.69 | $75.86 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | None (both parts) | $40.74 | $40.74 | $48.98 |
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 $17.38 Median $17.38 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $17.38 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $10.72 | Professional | 53 · Discontinued | $6.92 | $6.92 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | FX · Film X-ray | $28.18 | $28.18 | $42.66 |
Where Massachusetts sits
The same service costs 4.8 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· 17th of 51
$74.13
AK $158UT $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.