How much rates vary
Facilitymedian $166 · 10th to 90th $35 to $309Professionalmedian $209 · 10th to 90th $87 to $741
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $87.10 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $19.95 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $66.07 | $83.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $186.21 Typical High $575.44 | Facility | None | $138.04 | $186.21 | $575.44 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $131.83 | $371.54 | $741.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $63.10 Typical High $208.93 | Professional | 26 · Professional part | $26.92 | $63.10 | $208.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $128.82 | $331.13 | $602.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $346.74 | Facility | None | $169.82 | $251.19 | $346.74 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $91.20 | $91.20 | $144.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $45.71 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $309.03 | Facility | None | $199.53 | $223.87 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $138.04 | $138.04 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $32.36 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $104.71 | $218.78 |
Fallon Health Setting Facility Modifier None Typical Low $33.11 Median $151.36 Typical High $251.19 | Facility | None | $33.11 | $151.36 | $251.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $33.11 | $165.96 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $162.18 | $346.74 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $53.70 | $72.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $295.12 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $295.12 | $380.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $186.21 Typical High $575.44 | Facility | None | $138.04 | $186.21 | $575.44 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $131.83 | $371.54 | $741.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $63.10 Typical High $208.93 | Professional | 26 · Professional part | $26.92 | $63.10 | $208.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $128.82 | $331.13 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $131.83 | $204.17 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $34.67 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $169.82 | $302.00 |
Well Sense Setting Facility Modifier None Typical Low $117.49 Median $144.54 Typical High $229.09 | Facility | None | $117.49 | $144.54 | $229.09 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $38.90 | Facility | 26 · Professional part | $19.05 | $24.55 | $38.90 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $204.17 | Facility | TC · Technical part | $97.72 | $117.49 | $204.17 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $112.20 | $112.20 | $151.36 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $28.18 | Professional | 26 · Professional part | $20.89 | $20.89 | $28.18 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $89.13 | $123.03 |
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 $43.65 Median $43.65 Typical High $50.12 | Professional | 52 · Reduced service | $43.65 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | FX · Film X-ray | $69.18 | $69.18 | $69.18 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $12.02 Typical High $18.20 | Professional | 53 · Discontinued | $6.92 | $12.02 | $18.20 |
Where Massachusetts sits
The same service costs 4.0 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· 6th of 51
$209
AK $302FL $75.86
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.