How much rates vary
Facilitymedian $155 · 10th to 90th $71 to $1,995Professionalmedian $204 · 10th to 90th $105 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 $120.23 Median $120.23 Typical High $933.25 | Facility | None | $120.23 | $120.23 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $120.23 | $120.23 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $41.69 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $79.43 | $169.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $501.19 Typical High $1,778.28 | Facility | None | $154.88 | $501.19 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $141.25 Median $407.38 Typical High $3,162.28 | Professional | None (both parts) | $141.25 | $407.38 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $138.04 Typical High $537.03 | Professional | 26 · Professional part | $54.95 | $138.04 | $537.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $281.84 Typical High $2,884.03 | Professional | TC · Technical part | $100.00 | $281.84 | $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 $100.00 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $100.00 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,754.23 Typical High $6,025.60 | Facility | None | $707.95 | $2,754.23 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $489.78 | Professional | None (both parts) | $173.78 | $181.97 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $64.57 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $117.49 Typical High $380.19 | Professional | TC · Technical part | $114.82 | $117.49 | $380.19 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $120.23 Typical High $223.87 | Facility | None | $67.61 | $120.23 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $67.61 | $134.90 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $162.18 | $295.12 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $93.33 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $100.00 | $177.83 | $316.23 |
Health New England Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $501.19 Typical High $1,778.28 | Facility | None | $154.88 | $501.19 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $141.25 Median $407.38 Typical High $3,162.28 | Professional | None (both parts) | $141.25 | $407.38 | $3,162.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $138.04 Typical High $537.03 | Professional | 26 · Professional part | $54.95 | $138.04 | $537.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $281.84 Typical High $2,884.03 | Professional | TC · Technical part | $100.00 | $281.84 | $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 $151.36 Median $208.93 Typical High $575.44 | Professional | None (both parts) | $151.36 | $208.93 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $489.78 | Professional | TC · Technical part | $95.50 | $128.82 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $213.80 | Facility | None | $104.71 | $144.54 | $213.80 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $91.20 | Facility | 26 · Professional part | $38.90 | $50.12 | $91.20 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $154.88 | Facility | TC · Technical part | $66.07 | $85.11 | $154.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $190.55 | $190.55 | $229.09 |
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 $60.26 Median $60.26 Typical High $114.82 | Professional | 52 · Reduced service | $60.26 | $60.26 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $45.71 | Professional | 53 · Discontinued | $23.99 | $23.99 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | FX · Film X-ray | $95.50 | $95.50 | $181.97 |
Where Massachusetts sits
The same service costs 4.3 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· 30th of 51
$200
AK $407UT $95.50
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.