How much rates vary
Facilitymedian $182 · 10th to 90th $49 to $398Professionalmedian $224 · 10th to 90th $115 to $851
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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $28.84 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $87.10 | $87.10 | $93.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $616.60 | Facility | None | $144.54 | $199.53 | $616.60 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $158.49 Median $398.11 Typical High $851.14 | Professional | None (both parts) | $158.49 | $398.11 | $851.14 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $83.18 Typical High $288.40 | Professional | 26 · Professional part | $36.31 | $83.18 | $288.40 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $128.82 | $346.74 | $630.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $446.68 | Facility | None | $223.87 | $323.59 | $446.68 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
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 $177.83 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $177.83 | $181.97 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $45.71 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $134.90 | $281.84 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $165.96 Typical High $263.03 | Facility | None | $46.77 | $165.96 | $263.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $46.77 | $181.97 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $173.78 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $173.78 | $371.54 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $75.86 | $100.00 |
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 $144.54 Median $199.53 Typical High $616.60 | Facility | None | $144.54 | $199.53 | $616.60 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $158.49 Median $398.11 Typical High $851.14 | Professional | None (both parts) | $158.49 | $398.11 | $851.14 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $83.18 Typical High $288.40 | Professional | 26 · Professional part | $36.31 | $83.18 | $288.40 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $128.82 | $346.74 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $141.25 | $218.78 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $48.98 | $75.86 |
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 $125.89 Median $154.88 Typical High $245.47 | Facility | None | $125.89 | $154.88 | $245.47 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $54.95 | Facility | 26 · Professional part | $26.92 | $35.48 | $54.95 |
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 $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 $28.84 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $29.51 | $38.90 |
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 |
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 $57.54 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 7th of 51
$224
AK $389DC $87.10
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.