How much rates vary
Facilitymedian $316 · 10th to 90th $52 to $575Professionalmedian $447 · 10th to 90th $98 to $1,622
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $32.36 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $66.07 | $66.07 | $74.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $398.11 Typical High $1,230.27 | Facility | None | $295.12 | $398.11 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $288.40 Median $794.33 Typical High $1,621.81 | Professional | None (both parts) | $288.40 | $794.33 | $1,621.81 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $100.00 Typical High $794.33 | Professional | 26 · Professional part | $42.66 | $100.00 | $794.33 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $741.31 Typical High $1,412.54 | Professional | TC · Technical part | $288.40 | $741.31 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $389.05 | Facility | None | $194.98 | $281.84 | $389.05 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $338.84 | Professional | None (both parts) | $87.10 | $87.10 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $724.44 | Facility | None | $199.53 | $223.87 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $151.36 | $151.36 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $48.98 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $102.33 | $239.88 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $302.00 Typical High $537.03 | Facility | None | $50.12 | $302.00 | $537.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $50.12 | $331.13 | $588.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $346.74 Median $691.83 Typical High $954.99 | Professional | None (both parts) | $346.74 | $691.83 | $954.99 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $85.11 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $630.96 Typical High $851.14 | Professional | TC · Technical part | $295.12 | $630.96 | $851.14 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $398.11 Typical High $1,230.27 | Facility | None | $295.12 | $398.11 | $1,230.27 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $288.40 Median $794.33 Typical High $1,621.81 | Professional | None (both parts) | $288.40 | $794.33 | $1,621.81 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $100.00 Typical High $794.33 | Professional | 26 · Professional part | $42.66 | $100.00 | $794.33 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $741.31 Typical High $1,412.54 | Professional | TC · Technical part | $288.40 | $741.31 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $281.84 | $436.52 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $380.19 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $380.19 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $501.19 | Facility | None | $257.04 | $316.23 | $501.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $63.10 | Facility | 26 · Professional part | $30.90 | $38.02 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $467.74 | Facility | TC · Technical part | $229.09 | $275.42 | $467.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $251.19 | $251.19 | $338.84 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $33.88 | $45.71 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $204.17 | $204.17 | $275.42 |
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 $48.98 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $79.43 | $79.43 | $79.43 |
Where Massachusetts sits
The same service costs 5.2 times more in North Dakota 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· 3rd of 51
$447
ND $457FL $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.