How much rates vary
Facilitymedian $295 · 10th to 90th $31 to $575Professionalmedian $316 · 10th to 90th $37 to $8,913
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 $141.25 Median $141.25 Typical High $562.34 | Facility | None | $141.25 | $141.25 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $562.34 | Professional | None (both parts) | $141.25 | $141.25 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $75.86 | Professional | 26 · Professional part | $16.98 | $16.98 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $489.78 | Professional | TC · Technical part | $123.03 | $123.03 | $489.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $870.96 | Facility | None | $208.93 | $263.03 | $870.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $147.91 Median $537.03 Typical High $8,912.51 | Professional | None (both parts) | $147.91 | $537.03 | $8,912.51 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $47.86 Typical High $1,148.15 | Professional | 26 · Professional part | $21.88 | $47.86 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $489.78 Typical High $8,128.31 | Professional | TC · Technical part | $165.96 | $489.78 | $8,128.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $316.23 Median $467.74 Typical High $630.96 | Facility | None | $316.23 | $467.74 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $588.84 | Facility | None | $501.19 | $524.81 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $776.25 | Professional | None (both parts) | $309.03 | $309.03 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $27.54 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $724.44 | Professional | TC · Technical part | $281.84 | $281.84 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $288.40 Typical High $380.19 | Facility | None | $29.51 | $288.40 | $380.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $29.51 | $295.12 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $234.42 Median $446.68 Typical High $645.65 | Professional | None (both parts) | $234.42 | $446.68 | $645.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $44.67 | $63.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $208.93 | $416.87 | $588.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $870.96 | Facility | None | $208.93 | $263.03 | $870.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $147.91 Median $537.03 Typical High $8,912.51 | Professional | None (both parts) | $147.91 | $537.03 | $8,912.51 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $47.86 Typical High $1,148.15 | Professional | 26 · Professional part | $21.88 | $47.86 | $1,148.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $489.78 Typical High $8,128.31 | Professional | TC · Technical part | $165.96 | $489.78 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $117.49 | $316.23 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $30.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $89.13 | $281.84 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $380.19 | Facility | None | $186.21 | $257.04 | $380.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $38.90 | Facility | 26 · Professional part | $16.60 | $21.38 | $38.90 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $389.05 | Facility | TC · Technical part | $165.96 | $213.80 | $389.05 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $123.03 | $123.03 | $147.91 |
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 $70.79 Median $70.79 Typical High $281.84 | Professional | 52 · Reduced service | $70.79 | $70.79 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $114.82 | Professional | 53 · Discontinued | $28.18 | $28.18 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $457.09 | Professional | FX · Film X-ray | $112.20 | $112.20 | $457.09 |
Where Massachusetts sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 15th of 51
$316
AK $661KY $155
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.