How much rates vary
Facilitymedian $178 · 10th to 90th $66 to $468Professionalmedian $209 · 10th to 90th $93 to $1,023
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 $120.23 Median $120.23 Typical High $416.87 | Facility | None | $120.23 | $120.23 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $316.23 | Professional | None (both parts) | $120.23 | $120.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $95.50 | Professional | 26 · Professional part | $25.70 | $28.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $93.33 | $204.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $562.34 | Facility | None | $131.83 | $416.87 | $562.34 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $123.03 Median $426.58 Typical High $1,023.29 | Professional | None (both parts) | $123.03 | $426.58 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $131.83 Typical High $309.03 | Professional | 26 · Professional part | $40.74 | $131.83 | $309.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $104.71 | $302.00 | $707.95 |
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 $125.89 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $125.89 | $125.89 | $131.83 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $53.70 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $457.09 Typical High $851.14 | Facility | None | $169.82 | $457.09 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $144.54 | $204.17 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $144.54 | Professional | 26 · Professional part | $41.69 | $61.66 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $144.54 | $354.81 |
Fallon Health Setting Facility Modifier None Typical Low $63.10 Median $144.54 Typical High $245.47 | Facility | None | $63.10 | $144.54 | $245.47 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $63.10 | $154.88 | $245.47 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $144.54 | $245.47 | $489.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $52.48 | $85.11 | $151.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $112.20 | $194.98 | $316.23 |
Health New England Setting Facility Modifier None Typical Low $131.83 Median $257.04 Typical High $1,047.13 | Facility | None | $131.83 | $257.04 | $1,047.13 |
Health New England Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $398.11 | Professional | None (both parts) | $69.18 | $95.50 | $398.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $562.34 | Facility | None | $131.83 | $416.87 | $562.34 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $123.03 Median $426.58 Typical High $1,023.29 | Professional | None (both parts) | $123.03 | $426.58 | $1,023.29 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $131.83 Typical High $309.03 | Professional | 26 · Professional part | $40.74 | $131.83 | $309.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $104.71 | $302.00 | $707.95 |
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 $114.82 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $114.82 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $66.07 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $295.12 | Professional | TC · Technical part | $81.28 | $147.91 | $295.12 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $251.19 | Facility | None | $123.03 | $169.82 | $251.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $85.11 | Facility | 26 · Professional part | $36.31 | $47.86 | $85.11 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $199.53 | Facility | TC · Technical part | $85.11 | $112.20 | $199.53 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $117.49 | $117.49 | $141.25 |
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 $58.88 Median $58.88 Typical High $79.43 | Professional | 52 · Reduced service | $58.88 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $23.99 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | FX · Film X-ray | $95.50 | $95.50 | $123.03 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $17.38 Typical High $30.20 | Professional | 53 · Discontinued | $13.18 | $17.38 | $30.20 |
Where Massachusetts sits
The same service costs 4.3 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
$209
AK $447UT $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.