How much rates vary
Facilitymedian $55 · 10th to 90th $16 to $257Professionalmedian $62 · 10th to 90th $31 to $288
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 $63.10 Typical High $151.36 | Facility | None | $30.90 | $63.10 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $81.28 | Professional | None (both parts) | $30.90 | $30.90 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $8.13 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $63.10 | Professional | TC · Technical part | $22.39 | $22.39 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $162.18 Typical High $288.40 | Facility | None | $50.12 | $162.18 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $43.65 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $43.65 | $125.89 | $288.40 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $31.62 Typical High $112.20 | Professional | 26 · Professional part | $12.02 | $31.62 | $112.20 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $100.00 Typical High $269.15 | Professional | TC · Technical part | $35.48 | $100.00 | $269.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $12.59 | $12.59 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $173.78 Typical High $380.19 | Facility | None | $63.10 | $173.78 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $61.66 Typical High $138.04 | Professional | None (both parts) | $54.95 | $61.66 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $34.67 | Professional | 26 · Professional part | $12.88 | $14.79 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $107.15 | Professional | TC · Technical part | $43.65 | $46.77 | $107.15 |
Fallon Health Setting Facility Modifier None Typical Low $15.14 Median $47.86 Typical High $74.13 | Facility | None | $15.14 | $47.86 | $74.13 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $15.14 | $50.12 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $47.86 Median $72.44 Typical High $147.91 | Professional | None (both parts) | $47.86 | $72.44 | $147.91 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $12.59 | $19.05 | $35.48 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $37.15 | $60.26 | $102.33 |
Health New England Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Health New England Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | None (both parts) | $16.60 | $16.60 | $16.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $162.18 Typical High $288.40 | Facility | None | $50.12 | $162.18 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $43.65 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $43.65 | $125.89 | $288.40 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $31.62 Typical High $112.20 | Professional | 26 · Professional part | $12.02 | $31.62 | $112.20 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $100.00 Typical High $269.15 | Professional | TC · Technical part | $35.48 | $100.00 | $269.15 |
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 $43.65 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $43.65 | $60.26 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.85 Typical High $28.84 | Professional | 26 · Professional part | $10.47 | $15.85 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $85.11 | Professional | TC · Technical part | $32.36 | $44.67 | $85.11 |
Well Sense Setting Facility Modifier None Typical Low $34.67 Median $47.86 Typical High $72.44 | Facility | None | $34.67 | $47.86 | $72.44 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $20.42 | Facility | 26 · Professional part | $8.71 | $12.02 | $20.42 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $60.26 | Facility | TC · Technical part | $26.30 | $33.88 | $60.26 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | None (both parts) | $34.67 | $34.67 | $41.69 |
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 $15.49 Median $15.49 Typical High $22.91 | Professional | 52 · Reduced service | $15.49 | $15.49 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $9.12 | Professional | 53 · Discontinued | $6.17 | $6.17 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $36.31 | Professional | FX · Film X-ray | $24.55 | $24.55 | $36.31 |
Where Massachusetts sits
The same service costs 3.9 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· 18th of 51
$61.66
AK $129UT $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.