How much rates vary
Facilitymedian $27 · 10th to 90th $10 to $138Professionalmedian $30 · 10th to 90th $14 to $174
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 $17.78 Median $32.36 Typical High $77.62 | Facility | None | $17.78 | $32.36 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $21.38 Typical High $53.70 | Professional | None (both parts) | $17.78 | $21.38 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $17.38 | Professional | 26 · Professional part | $5.89 | $6.92 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $14.13 Typical High $35.48 | Professional | TC · Technical part | $12.02 | $14.13 | $35.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $24.55 Median $77.62 Typical High $154.88 | Facility | None | $24.55 | $77.62 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $21.38 Median $61.66 Typical High $173.78 | Professional | None (both parts) | $21.38 | $61.66 | $173.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $19.95 Typical High $75.86 | Professional | 26 · Professional part | $7.76 | $19.95 | $75.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $42.66 Typical High $147.91 | Professional | TC · Technical part | $15.14 | $42.66 | $147.91 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Facility | None | $70.79 | $104.71 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $14.13 | Professional | 26 · Professional part | $8.13 | $8.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $162.18 Typical High $275.42 | Facility | None | $60.26 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $29.51 Typical High $67.61 | Professional | None (both parts) | $28.18 | $29.51 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $9.33 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.95 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $19.95 | $45.71 |
Fallon Health Setting Facility Modifier None Typical Low $9.77 Median $21.88 Typical High $36.31 | Facility | None | $9.77 | $21.88 | $36.31 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $9.77 Median $22.39 Typical High $36.31 | Professional | None (both parts) | $9.77 | $22.39 | $36.31 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $17.38 Median $29.51 Typical High $67.61 | Professional | None (both parts) | $17.38 | $29.51 | $67.61 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $8.13 | $11.48 | $23.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $26.92 | $44.67 |
Health New England Setting Facility Modifier None Typical Low $33.88 Median $186.21 Typical High $234.42 | Facility | None | $33.88 | $186.21 | $234.42 |
Health New England Setting Professional Modifier None (both parts) Typical Low $10.47 Median $11.75 Typical High $33.88 | Professional | None (both parts) | $10.47 | $11.75 | $33.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $24.55 Median $77.62 Typical High $154.88 | Facility | None | $24.55 | $77.62 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $21.38 Median $61.66 Typical High $173.78 | Professional | None (both parts) | $21.38 | $61.66 | $173.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $19.95 Typical High $75.86 | Professional | 26 · Professional part | $7.76 | $19.95 | $75.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $42.66 Typical High $147.91 | Professional | TC · Technical part | $15.14 | $42.66 | $147.91 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $21.88 | $29.51 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $6.92 | $10.23 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.50 Typical High $40.74 | Professional | TC · Technical part | $14.45 | $19.50 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $16.98 Median $23.44 Typical High $34.67 | Facility | None | $16.98 | $23.44 | $34.67 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.50 Median $7.24 Typical High $12.88 | Facility | 26 · Professional part | $5.50 | $7.24 | $12.88 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $11.48 Median $14.79 Typical High $26.92 | Facility | TC · Technical part | $11.48 | $14.79 | $26.92 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | None (both parts) | $18.20 | $18.20 | $21.88 |
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 $8.91 Median $8.91 Typical High $12.30 | Professional | 52 · Reduced service | $8.91 | $8.91 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.90 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $14.45 Typical High $19.05 | Professional | FX · Film X-ray | $14.45 | $14.45 | $19.05 |
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· 20th of 51
$29.51
AK $64.57FL $17.38
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.