How much rates vary
Facilitymedian $162 · 10th to 90th $79 to $1,096Professionalmedian $204 · 10th to 90th $93 to $1,778
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 $97.72 Median $97.72 Typical High $776.25 | Facility | None | $97.72 | $97.72 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $97.72 | $97.72 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $48.98 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $48.98 | $151.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $549.54 Typical High $1,047.13 | Facility | None | $77.62 | $549.54 | $1,047.13 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $234.42 Typical High $245.47 | Facility | 26 · Professional part | $53.70 | $234.42 | $245.47 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $338.84 | Facility | TC · Technical part | $213.80 | $316.23 | $338.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $151.36 Median $398.11 Typical High $1,778.28 | Professional | None (both parts) | $151.36 | $398.11 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $158.49 Typical High $512.86 | Professional | 26 · Professional part | $64.57 | $158.49 | $512.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $295.12 Typical High $1,412.54 | Professional | TC · Technical part | $91.20 | $295.12 | $1,412.54 |
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 $91.20 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $91.20 | $91.20 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $3,090.30 | Facility | None | $575.44 | $1,380.38 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $173.78 | $204.17 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $194.98 | Professional | 26 · Professional part | $77.62 | $83.18 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $123.03 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $213.80 | Facility | None | $75.86 | $104.71 | $213.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $79.43 | $117.49 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $72.44 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $72.44 | $234.42 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $128.82 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $89.13 | $162.18 | $288.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $549.54 Typical High $1,047.13 | Facility | None | $77.62 | $549.54 | $1,047.13 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $234.42 Typical High $245.47 | Facility | 26 · Professional part | $53.70 | $234.42 | $245.47 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $338.84 | Facility | TC · Technical part | $213.80 | $316.23 | $338.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $151.36 Median $398.11 Typical High $1,778.28 | Professional | None (both parts) | $151.36 | $398.11 | $1,778.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $158.49 Typical High $512.86 | Professional | 26 · Professional part | $64.57 | $158.49 | $512.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $295.12 Typical High $1,412.54 | Professional | TC · Technical part | $91.20 | $295.12 | $1,412.54 |
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 $151.36 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $151.36 | $213.80 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $302.00 | Professional | TC · Technical part | $83.18 | $117.49 | $302.00 |
Well Sense Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $257.04 | Facility | None | $128.82 | $177.83 | $257.04 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $100.00 | Facility | 26 · Professional part | $48.98 | $60.26 | $100.00 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $162.18 | Facility | TC · Technical part | $79.43 | $100.00 | $162.18 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $169.82 | $169.82 | $204.17 |
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 $48.98 Median $48.98 Typical High $107.15 | Professional | 52 · Reduced service | $48.98 | $48.98 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $42.66 | Professional | 53 · Discontinued | $19.50 | $19.50 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $173.78 | Professional | FX · Film X-ray | $77.62 | $77.62 | $173.78 |
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· 27th of 51
$204
AK $447UT $97.72
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.