How much rates vary
Facilitymedian $138 · 10th to 90th $69 to $5,495Professionalmedian $191 · 10th to 90th $93 to $3,311
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 $109.65 Median $109.65 Typical High $891.25 | Facility | None | $109.65 | $109.65 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $234.42 | Professional | None (both parts) | $109.65 | $109.65 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $39.81 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $70.79 | $173.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $6,165.95 | Facility | None | $134.90 | $436.52 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $436.52 Typical High $3,311.31 | Professional | None (both parts) | $131.83 | $436.52 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $134.90 Typical High $575.44 | Professional | 26 · Professional part | $53.70 | $134.90 | $575.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $83.18 | $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 $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $54.95 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $5,495.41 Typical High $13,489.63 | Facility | None | $660.69 | $5,495.41 | $13,489.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $489.78 | Professional | None (both parts) | $151.36 | $162.18 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $147.91 | Professional | 26 · Professional part | $60.26 | $63.10 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $97.72 | $316.23 |
Fallon Health Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $194.98 | Facility | None | $66.07 | $97.72 | $194.98 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $66.07 | $109.65 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $144.54 | $263.03 | $501.19 |
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 $83.18 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $144.54 | $257.04 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Health New England Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $6,165.95 | Facility | None | $134.90 | $436.52 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $436.52 Typical High $3,311.31 | Professional | None (both parts) | $131.83 | $436.52 | $3,311.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $134.90 Typical High $575.44 | Professional | 26 · Professional part | $53.70 | $134.90 | $575.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $83.18 | $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 $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 $70.79 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $70.79 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $489.78 | Professional | TC · Technical part | $83.18 | $112.20 | $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 $38.02 Median $48.98 Typical High $89.13 | Facility | 26 · Professional part | $38.02 | $48.98 | $89.13 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $128.82 | Facility | TC · Technical part | $54.95 | $72.44 | $128.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $181.97 | $181.97 | $218.78 |
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 $54.95 Median $54.95 Typical High $107.15 | Professional | 52 · Reduced service | $54.95 | $54.95 | $107.15 |
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.