How much rates vary
Facilitymedian $158 · 10th to 90th $83 to $1,995Professionalmedian $209 · 10th to 90th $102 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 $125.89 Median $125.89 Typical High $954.99 | Facility | None | $125.89 | $125.89 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $125.89 | $125.89 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $51.29 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $72.44 | $158.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $501.19 Typical High $1,778.28 | Facility | None | $162.18 | $501.19 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $457.09 Typical High $3,235.94 | Professional | None (both parts) | $154.88 | $457.09 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $165.96 Typical High $478.63 | Professional | 26 · Professional part | $67.61 | $165.96 | $478.63 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $263.03 Typical High $2,884.03 | Professional | TC · Technical part | $83.18 | $263.03 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,258.93 | $1,819.70 | $2,511.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,187.76 Typical High $5,754.40 | Facility | None | $660.69 | $2,187.76 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $501.19 | Professional | None (both parts) | $173.78 | $186.21 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $81.28 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $338.84 | Professional | TC · Technical part | $100.00 | $102.33 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $223.87 | Facility | None | $79.43 | $104.71 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $83.18 | $120.23 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $162.18 | $295.12 | $549.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $112.20 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $87.10 | $158.49 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $501.19 Typical High $1,778.28 | Facility | None | $162.18 | $501.19 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $154.88 Median $457.09 Typical High $3,235.94 | Professional | None (both parts) | $154.88 | $457.09 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $165.96 Typical High $478.63 | Professional | 26 · Professional part | $67.61 | $165.96 | $478.63 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $263.03 Typical High $2,884.03 | Professional | TC · Technical part | $83.18 | $263.03 | $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 $158.49 Median $213.80 Typical High $588.84 | Professional | None (both parts) | $158.49 | $213.80 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $91.20 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $489.78 | Professional | TC · Technical part | $87.10 | $117.49 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $218.78 | Facility | None | $107.15 | $147.91 | $218.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $112.20 | Facility | 26 · Professional part | $47.86 | $63.10 | $112.20 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $138.04 | Facility | TC · Technical part | $58.88 | $75.86 | $138.04 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $194.98 | $194.98 | $234.42 |
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 $61.66 Median $61.66 Typical High $114.82 | Professional | 52 · Reduced service | $61.66 | $61.66 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $45.71 | Professional | 53 · Discontinued | $25.12 | $25.12 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $181.97 | Professional | FX · Film X-ray | $100.00 | $100.00 | $181.97 |
Where Massachusetts sits
The same service costs 4.5 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· 27th of 51
$209
AK $427UT $95.50
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.