How much rates vary
Facilitymedian $174 · 10th to 90th $39 to $324Professionalmedian $234 · 10th to 90th $55 to $891
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $69.18 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $33.11 | Professional | 26 · Professional part | $22.91 | $22.91 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $46.77 | $46.77 | $57.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $602.56 Typical High $707.95 | Facility | None | $204.17 | $602.56 | $707.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $131.83 | $426.58 | $891.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $77.62 Typical High $208.93 | Professional | 26 · Professional part | $30.20 | $77.62 | $208.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $407.38 Typical High $724.44 | Professional | TC · Technical part | $147.91 | $407.38 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $275.42 | Facility | None | $138.04 | $204.17 | $275.42 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $173.78 | Professional | None (both parts) | $63.10 | $63.10 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $371.54 | Facility | None | $199.53 | $223.87 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $263.03 | Professional | None (both parts) | $104.71 | $109.65 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $36.31 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $74.13 | $177.83 |
Fallon Health Setting Facility Modifier None Typical Low $37.15 Median $131.83 Typical High $275.42 | Facility | None | $37.15 | $131.83 | $275.42 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $37.15 | $169.82 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $186.21 | $281.84 | $512.86 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $32.36 | $51.29 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $223.87 | $436.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $602.56 Typical High $707.95 | Facility | None | $204.17 | $602.56 | $707.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $131.83 | $426.58 | $891.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $77.62 Typical High $208.93 | Professional | 26 · Professional part | $30.20 | $77.62 | $208.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $407.38 Typical High $724.44 | Professional | TC · Technical part | $147.91 | $407.38 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $158.49 | $234.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $40.74 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $194.98 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $275.42 | Facility | None | $144.54 | $169.82 | $275.42 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $48.98 | Facility | 26 · Professional part | $21.88 | $28.18 | $48.98 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $263.03 | Facility | TC · Technical part | $117.49 | $141.25 | $263.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $131.83 | $131.83 | $158.49 |
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 $34.67 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $14.13 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | FX · Film X-ray | $56.23 | $56.23 | $60.26 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 5th of 51
$219
AK $331TX $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.