How much rates vary
Facilitymedian $50 · 10th to 90th $20 to $1,023Professionalmedian $58 · 10th to 90th $19 to $776
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 $12.59 Median $33.11 Typical High $77.62 | Facility | None | $12.59 | $33.11 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.59 Median $16.22 Typical High $72.44 | Professional | None (both parts) | $12.59 | $16.22 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.41 Typical High $25.12 | Professional | 26 · Professional part | $6.03 | $7.41 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $8.51 Typical High $45.71 | Professional | TC · Technical part | $6.61 | $8.51 | $45.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $33.11 Median $154.88 Typical High $1,148.15 | Facility | None | $33.11 | $154.88 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $28.84 Median $120.23 Typical High $776.25 | Professional | None (both parts) | $28.84 | $120.23 | $776.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $11.22 | $39.81 | $95.50 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $85.11 Typical High $758.58 | Professional | TC · Technical part | $21.88 | $85.11 | $758.58 |
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 $33.11 Median $33.88 Typical High $56.23 | Professional | None (both parts) | $33.11 | $33.88 | $56.23 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 26 · Professional part | $16.60 | $16.60 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $933.25 Typical High $1,949.84 | Facility | None | $45.71 | $933.25 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $58.88 Typical High $128.82 | Professional | None (both parts) | $28.84 | $58.88 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.05 Typical High $44.67 | Professional | 26 · Professional part | $10.72 | $19.05 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $39.81 Typical High $83.18 | Professional | TC · Technical part | $19.50 | $39.81 | $83.18 |
Fallon Health Setting Facility Modifier None Typical Low $19.50 Median $40.74 Typical High $70.79 | Facility | None | $19.50 | $40.74 | $70.79 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $19.50 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $19.50 | $43.65 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $66.07 Typical High $144.54 | Professional | None (both parts) | $36.31 | $66.07 | $144.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $15.85 | $25.12 | $45.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $52.48 Typical High $89.13 | Professional | TC · Technical part | $28.84 | $52.48 | $89.13 |
Health New England Setting Facility Modifier None Typical Low $21.88 Median $95.50 Typical High $870.96 | Facility | None | $21.88 | $95.50 | $870.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $16.98 Median $24.55 Typical High $38.02 | Professional | None (both parts) | $16.98 | $24.55 | $38.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $33.11 Median $154.88 Typical High $1,148.15 | Facility | None | $33.11 | $154.88 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $28.84 Median $120.23 Typical High $776.25 | Professional | None (both parts) | $28.84 | $120.23 | $776.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $11.22 | $39.81 | $95.50 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $85.11 Typical High $758.58 | Professional | TC · Technical part | $21.88 | $85.11 | $758.58 |
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 $24.55 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $24.55 | $56.23 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $19.95 Typical High $37.15 | Professional | 26 · Professional part | $8.13 | $19.95 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $17.38 | $37.15 | $69.18 |
Well Sense Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $67.61 | Facility | None | $33.11 | $45.71 | $67.61 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $26.30 | Facility | 26 · Professional part | $11.22 | $14.45 | $26.30 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $50.12 | Facility | TC · Technical part | $21.88 | $28.18 | $50.12 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None (both parts) | $15.14 | $15.14 | $18.20 |
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 $6.31 Median $6.31 Typical High $19.95 | Professional | 52 · Reduced service | $6.31 | $6.31 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $7.94 | Professional | 53 · Discontinued | $2.51 | $2.51 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.00 Median $10.00 Typical High $29.51 | Professional | FX · Film X-ray | $10.00 | $10.00 | $29.51 |
Where Massachusetts sits
The same service costs 9.3 times more in Alaska than in New York. 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· 14th of 51
$57.54
AK $123NY $13.18
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.