How much rates vary
Facilitymedian $200 · 10th to 90th $38 to $479Professionalmedian $263 · 10th to 90th $105 to $977
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $33.88 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $102.33 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $691.83 | Facility | None | $162.18 | $218.78 | $691.83 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $169.82 Median $446.68 Typical High $977.24 | Professional | None (both parts) | $169.82 | $446.68 | $977.24 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $380.19 | Professional | 26 · Professional part | $38.02 | $69.18 | $380.19 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $398.11 Typical High $831.76 | Professional | TC · Technical part | $154.88 | $398.11 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $537.03 | Facility | None | $269.15 | $389.05 | $537.03 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $30.90 | $67.61 |
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 $134.90 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $134.90 | $134.90 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $33.88 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $100.00 | $223.87 |
Fallon Health Setting Facility Modifier None Typical Low $37.15 Median $169.82 Typical High $295.12 | Facility | None | $37.15 | $169.82 | $295.12 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $37.15 | $169.82 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $199.53 | $398.11 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $60.26 | $85.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $331.13 Typical High $457.09 | Professional | TC · Technical part | $162.18 | $331.13 | $457.09 |
Health New England Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $691.83 | Facility | None | $162.18 | $218.78 | $691.83 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $169.82 Median $446.68 Typical High $977.24 | Professional | None (both parts) | $169.82 | $446.68 | $977.24 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $380.19 | Professional | 26 · Professional part | $38.02 | $69.18 | $380.19 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $398.11 Typical High $831.76 | Professional | TC · Technical part | $154.88 | $398.11 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $169.82 | $251.19 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $56.23 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $204.17 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $275.42 | Facility | None | $138.04 | $169.82 | $275.42 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $41.69 | Facility | 26 · Professional part | $20.42 | $26.30 | $41.69 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $245.47 | Facility | TC · Technical part | $117.49 | $141.25 | $245.47 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $125.89 | $125.89 | $169.82 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $34.67 | $46.77 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $107.15 | $147.91 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $109.65 | $109.65 | $109.65 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $26.92 Typical High $35.48 | Professional | 52 · Reduced service | $15.49 | $26.92 | $35.48 |
Where Massachusetts sits
The same service costs 4.2 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· 4th of 51
$257
NE $380FL $91.20
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.