How much rates vary
Facilitymedian $138 · 10th to 90th $25 to $525Professionalmedian $138 · 10th to 90th $63 to $646
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 $63.10 Median $63.10 Typical High $288.40 | Facility | None | $63.10 | $63.10 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $63.10 | $63.10 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $19.05 | Professional | 26 · Professional part | $13.49 | $13.49 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $50.12 | $75.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $371.54 Typical High $588.84 | Facility | None | $95.50 | $371.54 | $588.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $75.86 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $75.86 | $288.40 | $645.65 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $50.12 Typical High $117.49 | Professional | 26 · Professional part | $18.62 | $50.12 | $117.49 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $64.57 | $251.19 | $524.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $524.81 | Facility | None | $263.03 | $380.19 | $524.81 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $97.72 | $97.72 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $436.52 Typical High $1,258.93 | Facility | None | $138.04 | $436.52 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $83.18 | $131.83 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $51.29 | Professional | 26 · Professional part | $21.38 | $22.39 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $69.18 | $109.65 | $251.19 |
Fallon Health Setting Facility Modifier None Typical Low $23.99 Median $117.49 Typical High $169.82 | Facility | None | $23.99 | $117.49 | $169.82 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $23.99 | $117.49 | $177.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $97.72 | $181.97 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $19.50 | $33.11 | $54.95 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $81.28 | $147.91 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $371.54 Typical High $588.84 | Facility | None | $95.50 | $371.54 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $75.86 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $75.86 | $288.40 | $645.65 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $50.12 Typical High $117.49 | Professional | 26 · Professional part | $18.62 | $50.12 | $117.49 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $64.57 | $251.19 | $524.81 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $67.61 | $125.89 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $16.98 | $23.99 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $53.70 | $104.71 | $199.53 |
Well Sense Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $158.49 | Facility | None | $77.62 | $107.15 | $158.49 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $30.20 | Facility | 26 · Professional part | $12.88 | $16.98 | $30.20 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $147.91 | Facility | TC · Technical part | $64.57 | $83.18 | $147.91 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $67.61 | $67.61 | $81.28 |
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 $31.62 Median $31.62 Typical High $45.71 | Professional | 52 · Reduced service | $31.62 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $18.62 | Professional | 53 · Discontinued | $12.59 | $12.59 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | FX · Film X-ray | $50.12 | $50.12 | $72.44 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 15th of 51
$138
AK $282KY $74.13
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.