How much rates vary
Facilitymedian $178 · 10th to 90th $37 to $794Professionalmedian $182 · 10th to 90th $85 to $891
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 $85.11 Median $120.23 Typical High $346.74 | Facility | None | $85.11 | $120.23 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $85.11 | $85.11 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $20.89 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $63.10 | $114.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $489.78 Typical High $1,148.15 | Facility | None | $134.90 | $489.78 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $107.15 Median $380.19 Typical High $891.25 | Professional | None (both parts) | $107.15 | $380.19 | $891.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $74.13 Typical High $173.78 | Professional | 26 · Professional part | $28.18 | $74.13 | $173.78 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $323.59 Typical High $724.44 | Professional | TC · Technical part | $87.10 | $323.59 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $870.96 | Facility | None | $436.52 | $645.65 | $870.96 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $131.83 | $131.83 | $134.90 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $30.20 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $630.96 Typical High $1,819.70 | Facility | None | $186.21 | $630.96 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $436.52 | Professional | None (both parts) | $117.49 | $181.97 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $34.67 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $363.08 | Professional | TC · Technical part | $93.33 | $147.91 | $363.08 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $151.36 Typical High $223.87 | Facility | None | $35.48 | $151.36 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $35.48 | $154.88 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $138.04 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $138.04 | $245.47 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $29.51 | $48.98 | $85.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $190.55 | $331.13 |
Health New England Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $489.78 Typical High $1,148.15 | Facility | None | $134.90 | $489.78 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $107.15 Median $380.19 Typical High $891.25 | Professional | None (both parts) | $107.15 | $380.19 | $891.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $74.13 Typical High $173.78 | Professional | 26 · Professional part | $28.18 | $74.13 | $173.78 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $323.59 Typical High $724.44 | Professional | TC · Technical part | $87.10 | $323.59 | $724.44 |
United Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $1,380.38 | Facility | None | $489.78 | $933.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $93.33 | $173.78 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $75.86 | $134.90 | $257.04 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $223.87 | Facility | None | $107.15 | $147.91 | $223.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $46.77 | Facility | 26 · Professional part | $19.95 | $26.30 | $46.77 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $204.17 | Facility | TC · Technical part | $87.10 | $114.82 | $204.17 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $81.28 | $81.28 | $97.72 |
4 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 $42.66 Median $42.66 Typical High $64.57 | Professional | 52 · Reduced service | $42.66 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $25.70 | Professional | 53 · Discontinued | $16.98 | $16.98 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | FX · Film X-ray | $67.61 | $67.61 | $97.72 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $34.67 | Professional | 52 · Reduced service | $15.14 | $15.14 | $34.67 |
Where Massachusetts sits
The same service costs 4.2 times more in Alaska than in New York. 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· 15th of 51
$182
AK $398NY $95.50
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.