How much rates vary
Facilitymedian $54 · 10th to 90th $17 to $240Professionalmedian $58 · 10th to 90th $30 to $269
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 $30.20 Median $64.57 Typical High $131.83 | Facility | None | $30.20 | $64.57 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $91.20 | Professional | None (both parts) | $30.20 | $36.31 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $25.12 | Professional | 26 · Professional part | $8.32 | $9.77 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $64.57 | Professional | TC · Technical part | $21.88 | $26.92 | $64.57 |
AllWays Health Partners Setting Facility Modifier None Typical Low $41.69 Median $158.49 Typical High $288.40 | Facility | None | $41.69 | $158.49 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $37.15 Median $123.03 Typical High $269.15 | Professional | None (both parts) | $37.15 | $123.03 | $269.15 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $34.67 Typical High $102.33 | Professional | 26 · Professional part | $11.75 | $34.67 | $102.33 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $93.33 Typical High $208.93 | Professional | TC · Technical part | $30.90 | $93.33 | $208.93 |
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 $37.15 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $37.15 | $38.02 | $38.02 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $13.80 | $23.44 |
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 $45.71 Median $57.54 Typical High $134.90 | Professional | None (both parts) | $45.71 | $57.54 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $35.48 | Professional | 26 · Professional part | $12.88 | $15.14 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $36.31 | $42.66 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $44.67 Typical High $72.44 | Facility | None | $16.22 | $44.67 | $72.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $46.77 Typical High $72.44 | Professional | None (both parts) | $16.22 | $46.77 | $72.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $40.74 Median $67.61 Typical High $141.25 | Professional | None (both parts) | $40.74 | $67.61 | $141.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.50 Typical High $38.02 | Professional | 26 · Professional part | $12.88 | $19.50 | $38.02 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $56.23 Typical High $97.72 | Professional | TC · Technical part | $31.62 | $56.23 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $54.95 Median $181.97 Typical High $371.54 | Facility | None | $54.95 | $181.97 | $371.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $16.98 Median $25.12 Typical High $67.61 | Professional | None (both parts) | $16.98 | $25.12 | $67.61 |
Mass General Brigham Setting Facility Modifier None Typical Low $41.69 Median $158.49 Typical High $288.40 | Facility | None | $41.69 | $158.49 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $37.15 Median $123.03 Typical High $269.15 | Professional | None (both parts) | $37.15 | $123.03 | $269.15 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $34.67 Typical High $102.33 | Professional | 26 · Professional part | $11.75 | $34.67 | $102.33 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $93.33 Typical High $208.93 | Professional | TC · Technical part | $30.90 | $93.33 | $208.93 |
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 $37.15 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $37.15 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.22 Typical High $29.51 | Professional | 26 · Professional part | $10.47 | $16.22 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $81.28 | Professional | TC · Technical part | $27.54 | $39.81 | $81.28 |
Well Sense Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $69.18 | Facility | None | $33.11 | $45.71 | $69.18 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $20.89 | Facility | 26 · Professional part | $8.91 | $11.75 | $20.89 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $56.23 | Facility | TC · Technical part | $24.55 | $31.62 | $56.23 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $31.62 | $31.62 | $38.02 |
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 $21.38 | Professional | 52 · Reduced service | $15.14 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $8.51 | Professional | 53 · Discontinued | $6.03 | $6.03 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $33.88 | Professional | FX · Film X-ray | $23.99 | $23.99 | $33.88 |
Where Massachusetts sits
The same service costs 3.7 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
$57.54
AK $123UT $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.