How much rates vary
Facilitymedian $129 · 10th to 90th $58 to $1,122Professionalmedian $162 · 10th to 90th $76 to $1,230
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 $75.86 Median $75.86 Typical High $478.63 | Facility | None | $75.86 | $75.86 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $75.86 | $75.86 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $93.33 | Professional | TC · Technical part | $41.69 | $41.69 | $93.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $436.52 Typical High $1,047.13 | Facility | None | $93.33 | $436.52 | $1,047.13 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $165.96 Typical High $173.78 | Facility | 26 · Professional part | $38.02 | $165.96 | $173.78 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $269.15 Typical High $288.40 | Facility | TC · Technical part | $56.23 | $269.15 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $120.23 Median $295.12 Typical High $1,230.27 | Professional | None (both parts) | $120.23 | $295.12 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $114.82 Typical High $354.81 | Professional | 26 · Professional part | $45.71 | $114.82 | $354.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $199.53 Typical High $1,000.00 | Professional | TC · Technical part | $69.18 | $199.53 | $1,000.00 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,584.89 | Facility | None | $794.33 | $1,148.15 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $77.62 | $77.62 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,380.38 Typical High $3,090.30 | Facility | None | $354.81 | $1,380.38 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $346.74 | Professional | None (both parts) | $134.90 | $144.54 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $53.70 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $239.88 | Professional | TC · Technical part | $85.11 | $89.13 | $239.88 |
Fallon Health Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $165.96 | Facility | None | $53.70 | $89.13 | $165.96 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $56.23 | $100.00 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $125.89 | $218.78 | $346.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $81.28 | $131.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $134.90 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $436.52 Typical High $1,047.13 | Facility | None | $93.33 | $436.52 | $1,047.13 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $165.96 Typical High $173.78 | Facility | 26 · Professional part | $38.02 | $165.96 | $173.78 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $269.15 Typical High $288.40 | Facility | TC · Technical part | $56.23 | $269.15 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $120.23 Median $295.12 Typical High $1,230.27 | Professional | None (both parts) | $120.23 | $295.12 | $1,230.27 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $114.82 Typical High $354.81 | Professional | 26 · Professional part | $45.71 | $114.82 | $354.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $199.53 Typical High $1,000.00 | Professional | TC · Technical part | $69.18 | $199.53 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $3,090.30 | Facility | None | $1,096.48 | $2,089.30 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $117.49 | $162.18 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $40.74 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $97.72 | $204.17 |
Well Sense Setting Facility Modifier None Typical Low $93.33 Median $128.82 Typical High $186.21 | Facility | None | $93.33 | $128.82 | $186.21 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $70.79 | Facility | 26 · Professional part | $34.67 | $42.66 | $70.79 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $123.03 | Facility | TC · Technical part | $58.88 | $74.13 | $123.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $107.15 | $107.15 | $128.82 |
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 $38.02 Median $38.02 Typical High $69.18 | Professional | 52 · Reduced service | $38.02 | $38.02 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $27.54 | Professional | 53 · Discontinued | $15.14 | $15.14 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $109.65 | Professional | FX · Film X-ray | $60.26 | $60.26 | $109.65 |
Where Massachusetts sits
The same service costs 4.6 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· 21st of 51
$158
AK $347UT $75.86
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.