How much rates vary
Facilitymedian $178 · 10th to 90th $39 to $794Professionalmedian $182 · 10th to 90th $78 to $871
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 $77.62 Median $77.62 Typical High $331.13 | Facility | None | $77.62 | $77.62 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $77.62 | $77.62 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $21.38 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $56.23 | $131.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $1,148.15 | Facility | None | $125.89 | $489.78 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $112.20 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $112.20 | $380.19 | $870.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $77.62 Typical High $204.17 | Professional | 26 · Professional part | $29.51 | $77.62 | $204.17 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $316.23 Typical High $691.83 | Professional | TC · Technical part | $100.00 | $316.23 | $691.83 |
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 $125.89 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $125.89 | $128.82 | $128.82 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $31.62 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $691.83 Typical High $1,819.70 | Facility | None | $251.19 | $691.83 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $131.83 | $169.82 | $389.05 |
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 $100.00 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $100.00 | $138.04 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $37.15 Median $151.36 Typical High $223.87 | Facility | None | $37.15 | $151.36 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $37.15 | $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 $30.90 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $51.29 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $107.15 | $186.21 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $1,148.15 | Facility | None | $125.89 | $489.78 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $112.20 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $112.20 | $380.19 | $870.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $77.62 Typical High $204.17 | Professional | 26 · Professional part | $29.51 | $77.62 | $204.17 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $316.23 Typical High $691.83 | Professional | TC · Technical part | $100.00 | $316.23 | $691.83 |
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 $112.20 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $112.20 | $173.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $138.04 | $251.19 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $213.80 | Facility | None | $102.33 | $141.25 | $213.80 |
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 $83.18 Median $107.15 Typical High $190.55 | Facility | TC · Technical part | $83.18 | $107.15 | $190.55 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $79.43 | $79.43 | $93.33 |
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 $38.90 Median $38.90 Typical High $61.66 | Professional | 52 · Reduced service | $38.90 | $38.90 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $24.55 | Professional | 53 · Discontinued | $15.49 | $15.49 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | FX · Film X-ray | $61.66 | $61.66 | $93.33 |
Where Massachusetts sits
The same service costs 3.9 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· 14th of 51
$182
AK $380NY $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.