How much rates vary
Facilitymedian $148 · 10th to 90th $22 to $525Professionalmedian $141 · 10th to 90th $38 to $692
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 $64.57 Median $64.57 Typical High $309.03 | Facility | None | $64.57 | $64.57 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $199.53 | Professional | None (both parts) | $64.57 | $64.57 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $27.54 | Professional | 26 · Professional part | $12.02 | $12.02 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $173.78 | Professional | TC · Technical part | $52.48 | $52.48 | $173.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $112.20 Median $389.05 Typical High $588.84 | Facility | None | $112.20 | $389.05 | $588.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $87.10 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $87.10 | $302.00 | $691.83 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $43.65 Typical High $151.36 | Professional | 26 · Professional part | $16.60 | $43.65 | $151.36 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $269.15 Typical High $588.84 | Professional | TC · Technical part | $87.10 | $269.15 | $588.84 |
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 $109.65 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $109.65 | $112.20 | $112.20 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $17.38 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $436.52 Typical High $1,258.93 | Facility | None | $186.21 | $436.52 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $95.50 | $141.25 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $18.62 | $19.50 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $120.23 | $281.84 |
Fallon Health Setting Facility Modifier None Typical Low $20.89 Median $128.82 Typical High $177.83 | Facility | None | $20.89 | $128.82 | $177.83 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $20.89 | $128.82 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $107.15 | $190.55 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $17.38 | $28.84 | $48.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $93.33 | $158.49 | $281.84 |
Health New England Setting Facility Modifier None Typical Low $162.18 Median $537.03 Typical High $630.96 | Facility | None | $162.18 | $537.03 | $630.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $21.88 Median $38.02 Typical High $138.04 | Professional | None (both parts) | $21.88 | $38.02 | $138.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $112.20 Median $389.05 Typical High $588.84 | Facility | None | $112.20 | $389.05 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $87.10 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $87.10 | $302.00 | $691.83 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $43.65 Typical High $151.36 | Professional | 26 · Professional part | $16.60 | $43.65 | $151.36 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $269.15 Typical High $588.84 | Professional | TC · Technical part | $87.10 | $269.15 | $588.84 |
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 $81.28 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $81.28 | $131.83 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $38.02 | Professional | 26 · Professional part | $15.14 | $21.38 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $213.80 | Professional | TC · Technical part | $66.07 | $117.49 | $213.80 |
Well Sense Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $169.82 | Facility | None | $83.18 | $114.82 | $169.82 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $15.14 Typical High $26.92 | Facility | 26 · Professional part | $11.48 | $15.14 | $26.92 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $165.96 | Facility | TC · Technical part | $72.44 | $93.33 | $165.96 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $70.79 | $70.79 | $85.11 |
5 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 $32.36 Median $32.36 Typical High $50.12 | Professional | 52 · Reduced service | $32.36 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $19.95 | Professional | 53 · Discontinued | $12.88 | $12.88 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $75.86 | Professional | FX · Film X-ray | $52.48 | $52.48 | $75.86 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $131.83 Median $165.96 Typical High $239.88 | Facility | 52 · Reduced service | $131.83 | $165.96 | $239.88 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $19.95 | Professional | 52 · Reduced service | $8.71 | $8.71 | $19.95 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in New York. 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· 16th of 51
$141
AK $288NY $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.