How much rates vary
Facilitymedian $191 · 10th to 90th $74 to $5,495Professionalmedian $251 · 10th to 90th $126 to $3,236
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 $131.83 Median $131.83 Typical High $1,000.00 | Facility | None | $131.83 | $131.83 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $131.83 | $131.83 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $91.20 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $190.55 Median $616.60 Typical High $6,165.95 | Facility | None | $190.55 | $616.60 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $173.78 Median $562.34 Typical High $3,235.94 | Professional | None (both parts) | $173.78 | $562.34 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $144.54 Typical High $616.60 | Professional | 26 · Professional part | $57.54 | $144.54 | $616.60 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $128.82 | $489.78 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $6,025.60 | Facility | None | $3,019.95 | $4,365.16 | $6,025.60 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $131.83 | $131.83 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $8,511.38 | Facility | None | $741.31 | $2,951.21 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $208.93 | $218.78 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $67.61 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $416.87 | Professional | TC · Technical part | $144.54 | $151.36 | $416.87 |
Fallon Health Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $275.42 | Facility | None | $70.79 | $162.18 | $275.42 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $70.79 | $173.78 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $199.53 | $371.54 | $602.56 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $97.72 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $131.83 | $239.88 | $407.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $616.60 Typical High $6,165.95 | Facility | None | $190.55 | $616.60 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $173.78 Median $562.34 Typical High $3,235.94 | Professional | None (both parts) | $173.78 | $562.34 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $144.54 Typical High $616.60 | Professional | 26 · Professional part | $57.54 | $144.54 | $616.60 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $128.82 | $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 $602.56 | Professional | None (both parts) | $173.78 | $234.42 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $53.70 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $501.19 | Professional | TC · Technical part | $117.49 | $158.49 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Facility | None | $125.89 | $173.78 | $257.04 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $93.33 | Facility | 26 · Professional part | $39.81 | $52.48 | $93.33 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $199.53 | Facility | TC · Technical part | $85.11 | $112.20 | $199.53 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $208.93 | $208.93 | $245.47 |
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 $66.07 Median $66.07 Typical High $123.03 | Professional | 52 · Reduced service | $66.07 | $66.07 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $48.98 | Professional | 53 · Discontinued | $26.30 | $26.30 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $194.98 | Professional | FX · Film X-ray | $104.71 | $104.71 | $194.98 |
Where Massachusetts sits
The same service costs 4.0 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· 23rd of 51
$245
AK $479TX $120
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.