How much rates vary
Facilitymedian $43 · 10th to 90th $11 to $229Professionalmedian $46 · 10th to 90th $16 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 $21.88 Median $35.48 Typical High $95.50 | Facility | None | $21.88 | $35.48 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $77.62 | Professional | None (both parts) | $21.88 | $21.88 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $19.05 | Professional | 26 · Professional part | $6.46 | $6.46 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $53.70 | Professional | TC · Technical part | $15.49 | $15.49 | $53.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $33.11 Median $123.03 Typical High $288.40 | Facility | None | $33.11 | $123.03 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $29.51 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $29.51 | $95.50 | $208.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.91 Typical High $85.11 | Professional | 26 · Professional part | $8.71 | $22.91 | $85.11 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $24.55 | $75.86 | $158.49 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.30 Median $162.18 Typical High $229.09 | Facility | None | $26.30 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $30.90 | $31.62 | $31.62 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $9.33 | $9.33 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $173.78 Typical High $380.19 | Facility | None | $61.66 | $173.78 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $45.71 Typical High $102.33 | Professional | None (both parts) | $34.67 | $45.71 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $10.72 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $81.28 | Professional | TC · Technical part | $26.92 | $35.48 | $81.28 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $36.31 Typical High $56.23 | Facility | None | $10.96 | $36.31 | $56.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $10.96 | $38.90 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $34.67 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $34.67 | $61.66 | $112.20 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $9.33 | $15.14 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $45.71 | $79.43 |
Health New England Setting Facility Modifier None Typical Low $41.69 Median $54.95 Typical High $158.49 | Facility | None | $41.69 | $54.95 | $158.49 |
Health New England Setting Professional Modifier None (both parts) Typical Low $11.48 Median $12.88 Typical High $53.70 | Professional | None (both parts) | $11.48 | $12.88 | $53.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $33.11 Median $123.03 Typical High $288.40 | Facility | None | $33.11 | $123.03 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $29.51 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $29.51 | $95.50 | $208.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.91 Typical High $85.11 | Professional | 26 · Professional part | $8.71 | $22.91 | $85.11 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $24.55 | $75.86 | $158.49 |
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 $28.84 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $28.84 | $43.65 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $11.75 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $33.11 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $53.70 | Facility | None | $25.70 | $36.31 | $53.70 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $13.80 | Facility | 26 · Professional part | $6.03 | $7.76 | $13.80 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $46.77 | Facility | TC · Technical part | $19.95 | $26.30 | $46.77 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None (both parts) | $22.91 | $22.91 | $27.54 |
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 $10.96 Median $10.96 Typical High $15.85 | Professional | 52 · Reduced service | $10.96 | $10.96 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $6.31 | Professional | 53 · Discontinued | $4.47 | $4.47 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | FX · Film X-ray | $17.78 | $17.78 | $25.12 |
Where Massachusetts sits
The same service costs 3.7 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· 16th of 51
$45.71
AK $95.50FL $25.70
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.