How much rates vary
Facilitymedian $27 · 10th to 90th $12 to $85Professionalmedian $52 · 10th to 90th $13 to $324
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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | None (both parts) | $24.55 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $11.48 | Professional | 26 · Professional part | $7.76 | $7.76 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | TC · Technical part | $16.60 | $16.60 | $20.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $66.07 | Facility | None | $19.50 | $25.70 | $66.07 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $12.02 Median $81.28 Typical High $323.59 | Professional | None (both parts) | $12.02 | $81.28 | $323.59 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $26.30 Typical High $131.83 | Professional | 26 · Professional part | $10.00 | $26.30 | $131.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $30.90 | $295.12 | $295.12 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $95.50 | Facility | None | $47.86 | $69.18 | $95.50 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $12.02 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $12.02 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $239.88 | Facility | None | $199.53 | $213.80 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.90 Typical High $87.10 | Professional | None (both parts) | $34.67 | $38.90 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $29.51 | Professional | 26 · Professional part | $12.02 | $12.59 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.70 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $25.70 | $60.26 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $15.14 Typical High $43.65 | Facility | None | $11.48 | $15.14 | $43.65 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $15.14 Typical High $37.15 | Professional | None (both parts) | $11.48 | $15.14 | $37.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $20.89 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $20.89 | $54.95 | $97.72 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.79 Typical High $28.84 | Professional | 26 · Professional part | $10.72 | $14.79 | $28.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $40.74 Typical High $74.13 | Professional | TC · Technical part | $20.89 | $40.74 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $66.07 | Facility | None | $19.50 | $25.70 | $66.07 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $12.02 Median $81.28 Typical High $323.59 | Professional | None (both parts) | $12.02 | $81.28 | $323.59 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $26.30 Typical High $131.83 | Professional | 26 · Professional part | $10.00 | $26.30 | $131.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $30.90 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $63.10 Typical High $117.49 | Professional | None (both parts) | $39.81 | $63.10 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $9.33 | $14.13 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $30.90 | $51.29 | $100.00 |
Well Sense Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $16.98 | Facility | 26 · Professional part | $7.41 | $9.77 | $16.98 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None (both parts) | $28.18 | $28.18 | $33.88 |
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 $12.02 Median $12.02 Typical High $15.85 | Professional | 52 · Reduced service | $12.02 | $12.02 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $6.31 | Professional | 53 · Discontinued | $4.90 | $4.90 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | FX · Film X-ray | $19.50 | $19.50 | $20.89 |
Where Massachusetts sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 17th of 51
$51.29
AK $110FL $23.44
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.