How much rates vary
Facilitymedian $112 · 10th to 90th $40 to $479Professionalmedian $224 · 10th to 90th $56 to $562
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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $190.55 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $23.44 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $181.97 | $213.80 | $213.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $114.82 Median $363.08 Typical High $588.84 | Facility | None | $114.82 | $363.08 | $588.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $75.86 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $75.86 | $354.81 | $562.34 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $79.43 Typical High $194.98 | Professional | 26 · Professional part | $30.90 | $79.43 | $194.98 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $85.11 | $331.13 | $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 $63.10 Median $63.10 Typical High $79.43 | Professional | None (both parts) | $63.10 | $63.10 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $354.81 Typical High $1,258.93 | Facility | None | $134.90 | $354.81 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $257.04 | Professional | None (both parts) | $104.71 | $109.65 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $37.15 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $169.82 | Professional | TC · Technical part | $69.18 | $72.44 | $169.82 |
Fallon Health Setting Facility Modifier None Typical Low $38.02 Median $91.20 Typical High $162.18 | Facility | None | $38.02 | $91.20 | $162.18 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $38.02 | $95.50 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $107.15 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $107.15 | $263.03 | $512.86 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $51.29 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $89.13 | $194.98 | $371.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $114.82 Median $363.08 Typical High $588.84 | Facility | None | $114.82 | $363.08 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $75.86 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $75.86 | $354.81 | $562.34 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $79.43 Typical High $194.98 | Professional | 26 · Professional part | $30.90 | $79.43 | $194.98 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $85.11 | $331.13 | $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 $93.33 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $93.33 | $346.74 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $40.74 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $64.57 | $316.23 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $151.36 | Facility | None | $81.28 | $95.50 | $151.36 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $50.12 | Facility | 26 · Professional part | $22.39 | $28.84 | $50.12 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $223.87 Typical High $416.87 | Facility | TC · Technical part | $66.07 | $223.87 | $416.87 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $74.13 | $74.13 | $89.13 |
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 $95.50 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $95.50 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $44.67 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $177.83 | $177.83 | $177.83 |
Where Massachusetts sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 24th of 51
$200
NE $389HI $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.