How much rates vary
Facilitymedian $166 · 10th to 90th $58 to $457Professionalmedian $186 · 10th to 90th $69 to $933
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 $100.00 Median $141.25 Typical High $416.87 | Facility | None | $100.00 | $141.25 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $295.12 | Professional | None (both parts) | $100.00 | $109.65 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $30.20 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $79.43 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $512.86 | Facility | None | $123.03 | $380.19 | $512.86 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $112.20 Median $380.19 Typical High $933.25 | Professional | None (both parts) | $112.20 | $380.19 | $933.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $117.49 Typical High $269.15 | Professional | 26 · Professional part | $38.90 | $117.49 | $269.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $83.18 | $288.40 | $660.69 |
BCBS Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $457.09 | Facility | None | $229.09 | $338.84 | $457.09 |
BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $114.82 | $114.82 | $123.03 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $46.77 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $363.08 Typical High $851.14 | Facility | None | $169.82 | $363.08 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $131.83 | $186.21 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $125.89 | Professional | 26 · Professional part | $40.74 | $53.70 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $131.83 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $131.83 | $331.13 |
Fallon Health Setting Facility Modifier None Typical Low $54.95 Median $131.83 Typical High $223.87 | Facility | None | $54.95 | $131.83 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $54.95 | $141.25 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $138.04 | $218.78 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $66.07 | $125.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $102.33 | $169.82 | $295.12 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $707.95 | Facility | None | $173.78 | $269.15 | $707.95 |
Health New England Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $60.26 | $64.57 | $77.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $512.86 | Facility | None | $123.03 | $380.19 | $512.86 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $112.20 Median $380.19 Typical High $933.25 | Professional | None (both parts) | $112.20 | $380.19 | $933.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $117.49 Typical High $269.15 | Professional | 26 · Professional part | $38.90 | $117.49 | $269.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $83.18 | $288.40 | $660.69 |
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 $102.33 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $102.33 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $35.48 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $131.83 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $229.09 | Facility | None | $112.20 | $154.88 | $229.09 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $72.44 | Facility | 26 · Professional part | $31.62 | $40.74 | $72.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $186.21 | Facility | TC · Technical part | $79.43 | $104.71 | $186.21 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
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 $50.12 Median $50.12 Typical High $70.79 | Professional | 52 · Reduced service | $50.12 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $20.42 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | FX · Film X-ray | $81.28 | $81.28 | $109.65 |
BCBS Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $52.48 | Professional | 52 · Reduced service | $23.44 | $23.44 | $52.48 |
Where Massachusetts sits
The same service costs 3.9 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
$186
AK $407UT $105
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.