How much rates vary
Facilitymedian $138 · 10th to 90th $72 to $1,585Professionalmedian $191 · 10th to 90th $91 to $3,388
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 $870.96 | Facility | None | $107.15 | $107.15 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $107.15 | $107.15 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $40.74 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $66.07 | $162.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $1,778.28 | Facility | None | $134.90 | $436.52 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $426.58 Typical High $3,388.44 | Professional | None (both parts) | $131.83 | $426.58 | $3,388.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $141.25 Typical High $630.96 | Professional | 26 · Professional part | $56.23 | $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 $707.95 Median $1,023.29 Typical High $1,412.54 | Facility | None | $707.95 | $1,023.29 | $1,412.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $93.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,862.09 Typical High $4,365.16 | Facility | None | $645.65 | $1,862.09 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $489.78 | Professional | None (both parts) | $147.91 | $158.49 | $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 $89.13 Median $91.20 Typical High $302.00 | Professional | TC · Technical part | $89.13 | $91.20 | $302.00 |
Fallon Health Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $194.98 | Facility | None | $69.18 | $95.50 | $194.98 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $69.18 | $107.15 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $144.54 | $263.03 | $489.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $87.10 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $144.54 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $1,778.28 | Facility | None | $134.90 | $436.52 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $426.58 Typical High $3,388.44 | Professional | None (both parts) | $131.83 | $426.58 | $3,388.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $141.25 Typical High $630.96 | Professional | 26 · Professional part | $56.23 | $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 $2,187.76 Median $4,168.69 Typical High $6,165.95 | Facility | None | $2,187.76 | $4,168.69 | $6,165.95 |
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 $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 $79.43 Median $109.65 Typical High $489.78 | Professional | TC · Technical part | $79.43 | $109.65 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $190.55 | Facility | None | $91.20 | $128.82 | $190.55 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $91.20 | Facility | 26 · Professional part | $38.90 | $51.29 | $91.20 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $123.03 | Facility | TC · Technical part | $53.70 | $69.18 | $123.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $177.83 | $177.83 | $213.80 |
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 $104.71 | Professional | 52 · Reduced service | $53.70 | $53.70 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $42.66 | Professional | 53 · Discontinued | $21.38 | $21.38 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $169.82 | Professional | FX · Film X-ray | $85.11 | $85.11 | $169.82 |
Where Massachusetts sits
The same service costs 4.8 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
$186
AK $363UT $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.