How much rates vary
Facilitymedian $141 · 10th to 90th $56 to $2,884Professionalmedian $178 · 10th to 90th $76 to $2,042
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 $524.81 | Facility | None | $75.86 | $75.86 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $75.86 | $75.86 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $31.62 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $44.67 | $102.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $109.65 Median $512.86 Typical High $3,630.78 | Facility | None | $109.65 | $512.86 | $3,630.78 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $158.49 Typical High $169.82 | Facility | 26 · Professional part | $36.31 | $158.49 | $169.82 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $354.81 Typical High $371.54 | Facility | TC · Technical part | $74.13 | $354.81 | $371.54 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $109.65 Median $371.54 Typical High $2,041.74 | Professional | None (both parts) | $109.65 | $371.54 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $109.65 Typical High $575.44 | Professional | 26 · Professional part | $42.66 | $109.65 | $575.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $275.42 Typical High $1,819.70 | Professional | TC · Technical part | $77.62 | $275.42 | $1,819.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,862.09 | $2,691.53 | $3,715.35 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $89.13 | $89.13 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $2,290.87 Typical High $6,309.57 | Facility | None | $125.89 | $2,290.87 | $6,309.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $134.90 | $151.36 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $50.12 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $251.19 | Professional | TC · Technical part | $85.11 | $100.00 | $251.19 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $199.53 | Facility | None | $52.48 | $117.49 | $199.53 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $53.70 | $128.82 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $128.82 | $257.04 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $69.18 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $83.18 | $165.96 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $109.65 Median $512.86 Typical High $3,630.78 | Facility | None | $109.65 | $512.86 | $3,630.78 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $158.49 Typical High $169.82 | Facility | 26 · Professional part | $36.31 | $158.49 | $169.82 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $354.81 Typical High $371.54 | Facility | TC · Technical part | $74.13 | $354.81 | $371.54 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $109.65 Median $371.54 Typical High $2,041.74 | Professional | None (both parts) | $109.65 | $371.54 | $2,041.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $109.65 Typical High $575.44 | Professional | 26 · Professional part | $42.66 | $109.65 | $575.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $275.42 Typical High $1,819.70 | Professional | TC · Technical part | $77.62 | $275.42 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $7,762.47 | Facility | None | $2,754.23 | $5,128.61 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $114.82 | $162.18 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $302.00 | Professional | TC · Technical part | $70.79 | $97.72 | $302.00 |
Well Sense Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $173.78 | Facility | None | $87.10 | $120.23 | $173.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $60.26 | Facility | 26 · Professional part | $29.51 | $36.31 | $60.26 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $117.49 | Facility | TC · Technical part | $57.54 | $72.44 | $117.49 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $109.65 | $109.65 | $131.83 |
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 $66.07 | Professional | 52 · Reduced service | $38.02 | $38.02 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | 53 · Discontinued | $15.14 | $15.14 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | FX · Film X-ray | $61.66 | $61.66 | $104.71 |
Where Massachusetts sits
The same service costs 4.0 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· 17th of 51
$174
AK $339FL $85.11
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.