How much rates vary
Facilitymedian $138 · 10th to 90th $71 to $8,913Professionalmedian $191 · 10th to 90th $93 to $3,162
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 $107.15 Median $107.15 Typical High $933.25 | Facility | None | $107.15 | $107.15 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $234.42 | Professional | None (both parts) | $107.15 | $107.15 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $40.74 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $165.96 | Professional | TC · Technical part | $67.61 | $67.61 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $446.68 Typical High $10,232.93 | Facility | None | $138.04 | $446.68 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $467.74 Typical High $3,162.28 | Professional | None (both parts) | $131.83 | $467.74 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $141.25 Typical High $630.96 | Professional | 26 · Professional part | $54.95 | $141.25 | $630.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $81.28 | $489.78 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5,011.87 Median $7,244.36 Typical High $10,000.00 | Facility | None | $5,011.87 | $7,244.36 | $10,000.00 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $83.18 | $85.11 | $85.11 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $87.10 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $8,511.38 Typical High $14,454.40 | Facility | None | $676.08 | $8,511.38 | $14,454.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $489.78 | Professional | None (both parts) | $154.88 | $162.18 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $66.07 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $316.23 | Professional | TC · Technical part | $93.33 | $95.50 | $316.23 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $199.53 | Facility | None | $67.61 | $97.72 | $199.53 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $67.61 | $109.65 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $147.91 | $257.04 | $501.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $89.13 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $147.91 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $446.68 Typical High $10,232.93 | Facility | None | $138.04 | $446.68 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $467.74 Typical High $3,162.28 | Professional | None (both parts) | $131.83 | $467.74 | $3,162.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $141.25 Typical High $630.96 | Professional | 26 · Professional part | $54.95 | $141.25 | $630.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $81.28 | $489.78 | $2,884.03 |
United Setting Facility Modifier None Typical Low $7,762.47 Median $14,791.08 Typical High $21,877.62 | Facility | None | $7,762.47 | $14,791.08 | $21,877.62 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $575.44 | Professional | None (both parts) | $138.04 | $186.21 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $489.78 | Professional | TC · Technical part | $81.28 | $109.65 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $93.33 Median $128.82 Typical High $190.55 | Facility | None | $93.33 | $128.82 | $190.55 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $89.13 | Facility | 26 · Professional part | $38.90 | $50.12 | $89.13 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $125.89 | Facility | TC · Technical part | $54.95 | $70.79 | $125.89 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $186.21 | $186.21 | $223.87 |
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 $53.70 Median $53.70 Typical High $109.65 | Professional | 52 · Reduced service | $53.70 | $53.70 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $43.65 | Professional | 53 · Discontinued | $21.88 | $21.88 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $173.78 | Professional | FX · Film X-ray | $87.10 | $87.10 | $173.78 |
Where Massachusetts sits
The same service costs 4.9 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· 26th of 51
$186
AK $372UT $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.