How much rates vary
Facilitymedian $117 · 10th to 90th $38 to $355Professionalmedian $132 · 10th to 90th $45 to $646
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 $69.18 Median $100.00 Typical High $295.12 | Facility | None | $69.18 | $100.00 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $223.87 | Professional | None (both parts) | $69.18 | $87.10 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $61.66 | Professional | 26 · Professional part | $16.98 | $21.38 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $165.96 | Professional | TC · Technical part | $52.48 | $61.66 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $83.18 Median $263.03 Typical High $380.19 | Facility | None | $83.18 | $263.03 | $380.19 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $77.62 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $77.62 | $269.15 | $645.65 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $77.62 Typical High $181.97 | Professional | 26 · Professional part | $25.70 | $77.62 | $181.97 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $204.17 Typical High $467.74 | Professional | TC · Technical part | $60.26 | $204.17 | $467.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $457.09 | Facility | None | $229.09 | $338.84 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $83.18 | $83.18 | $87.10 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $30.90 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $316.23 Typical High $831.76 | Facility | None | $123.03 | $316.23 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $316.23 | Professional | None (both parts) | $93.33 | $131.83 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $36.31 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $95.50 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $95.50 Typical High $158.49 | Facility | None | $36.31 | $95.50 | $158.49 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $36.31 | $100.00 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $316.23 | Professional | None (both parts) | $97.72 | $154.88 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $43.65 | $79.43 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $72.44 | $120.23 | $208.93 |
Health New England Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $457.09 | Facility | None | $120.23 | $257.04 | $457.09 |
Health New England Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $223.87 | Professional | None (both parts) | $40.74 | $44.67 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $83.18 Median $263.03 Typical High $380.19 | Facility | None | $83.18 | $263.03 | $380.19 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $77.62 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $77.62 | $269.15 | $645.65 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $77.62 Typical High $181.97 | Professional | 26 · Professional part | $25.70 | $77.62 | $181.97 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $204.17 Typical High $467.74 | Professional | TC · Technical part | $60.26 | $204.17 | $467.74 |
United Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $72.44 | $128.82 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $53.70 | $95.50 | $173.78 |
Well Sense Setting Facility Modifier None Typical Low $77.62 Median $109.65 Typical High $162.18 | Facility | None | $77.62 | $109.65 | $162.18 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $50.12 | Facility | 26 · Professional part | $21.38 | $27.54 | $50.12 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $131.83 | Facility | TC · Technical part | $57.54 | $74.13 | $131.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $69.18 | $69.18 | $83.18 |
6 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 $34.67 Median $34.67 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $19.50 | Professional | 53 · Discontinued | $14.13 | $14.13 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | FX · Film X-ray | $56.23 | $56.23 | $77.62 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $114.82 Median $144.54 Typical High $208.93 | Facility | 52 · Reduced service | $114.82 | $144.54 | $208.93 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.38 Typical High $34.67 | Professional | 52 · Reduced service | $15.49 | $17.38 | $34.67 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $17.38 | Professional | 53 · Discontinued | $7.76 | $7.76 | $17.38 |
Where Massachusetts sits
The same service costs 3.8 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· 16th of 51
$132
AK $282UT $74.13
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.