How much rates vary
Facilitymedian $123 · 10th to 90th $25 to $525Professionalmedian $126 · 10th to 90th $29 to $631
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 $58.88 Median $93.33 Typical High $263.03 | Facility | None | $58.88 | $93.33 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $181.97 | Professional | None (both parts) | $58.88 | $66.07 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $37.15 | Professional | 26 · Professional part | $14.13 | $15.49 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $144.54 | Professional | TC · Technical part | $45.71 | $52.48 | $144.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $331.13 Typical High $588.84 | Facility | None | $95.50 | $331.13 | $588.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $75.86 Median $257.04 Typical High $630.96 | Professional | None (both parts) | $75.86 | $257.04 | $630.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $48.98 Typical High $131.83 | Professional | 26 · Professional part | $19.05 | $48.98 | $131.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $223.87 Typical High $524.81 | Professional | TC · Technical part | $74.13 | $223.87 | $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 $89.13 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $89.13 | $89.13 | $95.50 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $19.95 | $19.95 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $436.52 Typical High $1,548.82 | Facility | None | $154.88 | $436.52 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $85.11 | $125.89 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $22.91 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $245.47 | Professional | TC · Technical part | $70.79 | $102.33 | $245.47 |
Fallon Health Setting Facility Modifier None Typical Low $23.44 Median $104.71 Typical High $151.36 | Facility | None | $23.44 | $104.71 | $151.36 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $23.44 | $104.71 | $154.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $93.33 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $93.33 | $165.96 | $302.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $19.95 | $32.36 | $54.95 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $128.82 | $229.09 |
Health New England Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $676.08 | Facility | None | $134.90 | $436.52 | $676.08 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.88 Median $26.30 Typical High $34.67 | Professional | None (both parts) | $12.88 | $26.30 | $34.67 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $331.13 Typical High $588.84 | Facility | None | $95.50 | $331.13 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $75.86 Median $257.04 Typical High $630.96 | Professional | None (both parts) | $75.86 | $257.04 | $630.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $48.98 Typical High $131.83 | Professional | 26 · Professional part | $19.05 | $48.98 | $131.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $223.87 Typical High $524.81 | Professional | TC · Technical part | $74.13 | $223.87 | $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 $72.44 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $72.44 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $25.12 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $57.54 | $100.00 | $181.97 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $154.88 | Facility | None | $75.86 | $104.71 | $154.88 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $31.62 | Facility | 26 · Professional part | $13.49 | $17.38 | $31.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $144.54 | Facility | TC · Technical part | $63.10 | $81.28 | $144.54 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $61.66 | $61.66 | $74.13 |
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 $29.51 Median $29.51 Typical High $45.71 | Professional | 52 · Reduced service | $29.51 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $18.20 | Professional | 53 · Discontinued | $12.02 | $12.02 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | FX · Film X-ray | $47.86 | $47.86 | $69.18 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.96 Typical High $22.39 | Professional | 52 · Reduced service | $10.00 | $10.96 | $22.39 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $11.22 | Professional | 53 · Discontinued | $4.90 | $4.90 | $11.22 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Utah. 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
$126
AK $263UT $66.07
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.