How much rates vary
Facilitymedian $148 · 10th to 90th $72 to $1,445Professionalmedian $195 · 10th to 90th $100 to $3,548
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 $117.49 Median $117.49 Typical High $1,000.00 | Facility | None | $117.49 | $117.49 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $117.49 | $117.49 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $42.66 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $74.13 | $223.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $1,778.28 | Facility | None | $144.54 | $467.74 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $138.04 Median $389.05 Typical High $3,548.13 | Professional | None (both parts) | $138.04 | $389.05 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $141.25 Typical High $616.60 | Professional | 26 · Professional part | $56.23 | $141.25 | $616.60 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $275.42 Typical High $3,019.95 | Professional | TC · Technical part | $87.10 | $275.42 | $3,019.95 |
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 $91.20 Median $91.20 Typical High $93.33 | Professional | None (both parts) | $91.20 | $91.20 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,148.15 Typical High $4,365.16 | Facility | None | $724.44 | $1,148.15 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $165.96 | $173.78 | $501.19 |
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 $102.33 Median $104.71 Typical High $346.74 | Professional | TC · Technical part | $102.33 | $104.71 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $208.93 | Facility | None | $69.18 | $104.71 | $208.93 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $69.18 | $117.49 | $208.93 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $151.36 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $151.36 | $269.15 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $95.50 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $89.13 | $158.49 | $288.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $1,778.28 | Facility | None | $144.54 | $467.74 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $138.04 Median $389.05 Typical High $3,548.13 | Professional | None (both parts) | $138.04 | $389.05 | $3,548.13 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $141.25 Typical High $616.60 | Professional | 26 · Professional part | $56.23 | $141.25 | $616.60 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $275.42 Typical High $3,019.95 | Professional | TC · Technical part | $87.10 | $275.42 | $3,019.95 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,454.71 | Facility | None | $870.96 | $1,659.59 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $575.44 | Professional | None (both parts) | $147.91 | $204.17 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $75.86 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $501.19 | Professional | TC · Technical part | $89.13 | $120.23 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $208.93 | Facility | None | $100.00 | $138.04 | $208.93 |
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 $60.26 Median $79.43 Typical High $141.25 | Facility | TC · Technical part | $60.26 | $79.43 | $141.25 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $223.87 | $223.87 | $269.15 |
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 $58.88 Median $58.88 Typical High $144.54 | Professional | 52 · Reduced service | $58.88 | $58.88 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $57.54 | Professional | 53 · Discontinued | $23.44 | $23.44 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $229.09 | Professional | FX · Film X-ray | $93.33 | $93.33 | $229.09 |
Where Massachusetts sits
The same service costs 4.9 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· 26th of 51
$195
AK $398TX $81.28
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.