How much rates vary
Facilitymedian $126 · 10th to 90th $45 to $1,413Professionalmedian $158 · 10th to 90th $71 to $1,023
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 $407.38 | Facility | None | $117.49 | $117.49 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $109.65 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $26.92 | $26.92 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $89.13 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $85.11 Median $380.19 Typical High $1,778.28 | Facility | None | $85.11 | $380.19 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $85.11 Median $302.00 Typical High $1,023.29 | Professional | None (both parts) | $85.11 | $302.00 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $34.67 | $87.10 | $208.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $213.80 Typical High $870.96 | Professional | TC · Technical part | $67.61 | $213.80 | $870.96 |
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 $89.13 Median $89.13 Typical High $91.20 | Professional | None (both parts) | $89.13 | $89.13 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $1,122.02 Typical High $4,365.16 | Facility | None | $128.82 | $1,122.02 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $346.74 | Professional | None (both parts) | $107.15 | $147.91 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $42.66 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $104.71 | $245.47 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $104.71 Typical High $173.78 | Facility | None | $42.66 | $104.71 | $173.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $42.66 | $112.20 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $109.65 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $109.65 | $194.98 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $54.95 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $144.54 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $85.11 Median $380.19 Typical High $1,778.28 | Facility | None | $85.11 | $380.19 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $85.11 Median $302.00 Typical High $1,023.29 | Professional | None (both parts) | $85.11 | $302.00 | $1,023.29 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $34.67 | $87.10 | $208.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $213.80 Typical High $870.96 | Professional | TC · Technical part | $67.61 | $213.80 | $870.96 |
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 $81.28 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $81.28 | $162.18 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $31.62 | $45.71 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $114.82 Typical High $223.87 | Professional | TC · Technical part | $47.86 | $114.82 | $223.87 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $173.78 | Facility | None | $85.11 | $117.49 | $173.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $57.54 | Facility | 26 · Professional part | $25.12 | $32.36 | $57.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $141.25 | Facility | TC · Technical part | $60.26 | $77.62 | $141.25 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
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 $57.54 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $23.44 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | FX · Film X-ray | $93.33 | $93.33 | $141.25 |
Where Massachusetts sits
The same service costs 4.6 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· 18th of 51
$155
AK $324TX $70.79
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.