How much rates vary
Facilitymedian $186 · 10th to 90th $34 to $316Professionalmedian $240 · 10th to 90th $68 to $912
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | None (both parts) | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $26.92 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | TC · Technical part | $53.70 | $53.70 | $58.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $208.93 Typical High $660.69 | Facility | None | $154.88 | $208.93 | $660.69 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $162.18 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $162.18 | $416.87 | $912.01 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $58.88 Typical High $363.08 | Professional | 26 · Professional part | $26.92 | $58.88 | $363.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $151.36 | $380.19 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $316.23 | Facility | None | $158.49 | $234.42 | $316.23 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $173.78 | Professional | None (both parts) | $54.95 | $54.95 | $173.78 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $27.54 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $371.54 | Facility | None | $199.53 | $223.87 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $89.13 | $89.13 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $29.51 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $138.04 | Professional | TC · Technical part | $58.88 | $58.88 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $32.36 Median $154.88 Typical High $281.84 | Facility | None | $32.36 | $154.88 | $281.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $32.36 | $169.82 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $190.55 | $363.08 | $501.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $50.12 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $323.59 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $323.59 | $436.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $208.93 Typical High $660.69 | Facility | None | $154.88 | $208.93 | $660.69 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $162.18 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $162.18 | $416.87 | $912.01 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $58.88 Typical High $363.08 | Professional | 26 · Professional part | $26.92 | $58.88 | $363.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $151.36 | $380.19 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $162.18 | $239.88 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $43.65 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $194.98 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $263.03 | Facility | None | $134.90 | $165.96 | $263.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $35.48 | Facility | 26 · Professional part | $17.38 | $22.39 | $35.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $239.88 | Facility | TC · Technical part | $117.49 | $141.25 | $239.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $120.23 | $120.23 | $162.18 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $26.92 | $36.31 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $107.15 | $144.54 |
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 $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | FX · Film X-ray | $64.57 | $64.57 | $64.57 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $23.44 Typical High $36.31 | Professional | 52 · Reduced service | $13.80 | $23.44 | $36.31 |
Where Massachusetts sits
The same service costs 6.6 times more in Nebraska 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· 5th of 51
$240
NE $363FL $54.95
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.