How much rates vary
Facilitymedian $178 · 10th to 90th $72 to $1,995Professionalmedian $240 · 10th to 90th $120 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 $134.90 Median $134.90 Typical High $1,000.00 | Facility | None | $134.90 | $134.90 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $134.90 | $134.90 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $41.69 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $93.33 | $181.97 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $562.34 Typical High $1,778.28 | Facility | None | $173.78 | $562.34 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $165.96 Median $537.03 Typical High $3,162.28 | Professional | None (both parts) | $165.96 | $537.03 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $141.25 Typical High $467.74 | Professional | 26 · Professional part | $56.23 | $141.25 | $467.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $117.49 | $489.78 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,258.93 | $1,819.70 | $2,511.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | None (both parts) | $120.23 | $120.23 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,089.30 Typical High $13,489.63 | Facility | None | $724.44 | $2,089.30 | $13,489.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $199.53 | $208.93 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $67.61 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $141.25 | $407.38 |
Fallon Health Setting Facility Modifier None Typical Low $69.18 Median $141.25 Typical High $251.19 | Facility | None | $69.18 | $141.25 | $251.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $69.18 | $154.88 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $181.97 | $331.13 | $575.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $89.13 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $120.23 | $208.93 | $380.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $562.34 Typical High $1,778.28 | Facility | None | $173.78 | $562.34 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $165.96 Median $537.03 Typical High $3,162.28 | Professional | None (both parts) | $165.96 | $537.03 | $3,162.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $141.25 Typical High $467.74 | Professional | 26 · Professional part | $56.23 | $141.25 | $467.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $117.49 | $489.78 | $2,884.03 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $12,302.69 | Facility | None | $4,365.16 | $8,317.64 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $575.44 | Professional | None (both parts) | $173.78 | $234.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $75.86 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $489.78 | Professional | TC · Technical part | $114.82 | $154.88 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $245.47 | Facility | None | $120.23 | $165.96 | $245.47 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $93.33 | Facility | 26 · Professional part | $40.74 | $52.48 | $93.33 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $186.21 | Facility | TC · Technical part | $79.43 | $102.33 | $186.21 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $199.53 | $199.53 | $239.88 |
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 $67.61 Median $67.61 Typical High $120.23 | Professional | 52 · Reduced service | $67.61 | $67.61 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $47.86 | Professional | 53 · Discontinued | $26.92 | $26.92 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $190.55 | Professional | FX · Film X-ray | $107.15 | $107.15 | $190.55 |
Where Massachusetts sits
The same service costs 4.4 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· 23rd of 51
$234
AK $457UT $105
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.