How much rates vary
Facilitymedian $71 · 10th to 90th $33 to $1,023Professionalmedian $81 · 10th to 90th $43 to $389
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 $42.66 Median $42.66 Typical High $208.93 | Facility | None | $42.66 | $42.66 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $104.71 | Professional | None (both parts) | $42.66 | $42.66 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $19.50 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $67.61 | Professional | TC · Technical part | $22.91 | $22.91 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $44.67 Median $208.93 Typical High $1,148.15 | Facility | None | $44.67 | $208.93 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $58.88 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $58.88 | $162.18 | $389.05 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $64.57 Typical High $158.49 | Professional | 26 · Professional part | $25.70 | $64.57 | $158.49 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $104.71 Typical High $239.88 | Professional | TC · Technical part | $38.02 | $104.71 | $239.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $1,148.15 | Facility | None | $575.44 | $831.76 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None (both parts) | $42.66 | $42.66 | $43.65 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $26.30 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $707.95 Typical High $1,548.82 | Facility | None | $123.03 | $707.95 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $75.86 | $81.28 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $30.90 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $109.65 | Professional | TC · Technical part | $45.71 | $50.12 | $109.65 |
Fallon Health Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $97.72 | Facility | None | $31.62 | $52.48 | $97.72 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $31.62 | $56.23 | $97.72 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $63.10 | $100.00 | $194.98 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $42.66 | $75.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $40.74 | $67.61 | $109.65 |
Health New England Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $81.28 | Facility | None | $74.13 | $77.62 | $81.28 |
Health New England Setting Professional Modifier None (both parts) Typical Low $34.67 Median $36.31 Typical High $204.17 | Professional | None (both parts) | $34.67 | $36.31 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $44.67 Median $208.93 Typical High $1,148.15 | Facility | None | $44.67 | $208.93 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $58.88 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $58.88 | $162.18 | $389.05 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $64.57 Typical High $158.49 | Professional | 26 · Professional part | $25.70 | $64.57 | $158.49 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $104.71 Typical High $239.88 | Professional | TC · Technical part | $38.02 | $104.71 | $239.88 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $144.54 | Professional | None (both parts) | $60.26 | $81.28 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $34.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $35.48 | $47.86 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $95.50 | Facility | None | $46.77 | $64.57 | $95.50 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $42.66 | Facility | 26 · Professional part | $18.20 | $23.99 | $42.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $66.07 | Facility | TC · Technical part | $28.18 | $37.15 | $66.07 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $48.98 | $48.98 | $58.88 |
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 $21.38 Median $21.38 Typical High $31.62 | Professional | 52 · Reduced service | $21.38 | $21.38 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $12.59 | Professional | 53 · Discontinued | $8.51 | $8.51 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | FX · Film X-ray | $33.88 | $33.88 | $50.12 |
Where Massachusetts sits
The same service costs 3.8 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· 17th of 51
$81.28
AK $178TX $46.77
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.