How much rates vary
Facilitymedian $224 · 10th to 90th $89 to $3,802Professionalmedian $191 · 10th to 90th $27 to $1,072
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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $38.02 | Professional | None (both parts) | $26.92 | $26.92 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | 26 · Professional part | $13.49 | $13.49 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $128.82 | $128.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $218.78 | Facility | None | $138.04 | $141.25 | $218.78 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $69.18 | $602.56 | $602.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Facility | None | $70.79 | $104.71 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $208.93 Typical High $691.83 | Facility | None | $74.13 | $208.93 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $85.11 | $138.04 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $45.71 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $56.23 | $91.20 | $181.97 |
Fallon Health Setting Facility Modifier None Typical Low $100.00 Median $223.87 Typical High $1,995.26 | Facility | None | $100.00 | $223.87 | $1,995.26 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $100.00 | $190.55 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $120.23 | $169.82 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $218.78 | Facility | None | $138.04 | $141.25 | $218.78 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $69.18 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,754.40 | Facility | None | $2,511.89 | $3,467.37 | $5,754.40 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $158.49 | Facility | TC · Technical part | $69.18 | $89.13 | $158.49 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $69.18 | $69.18 | $81.28 |
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 $13.49 Median $13.49 Typical High $18.62 | Professional | 52 · Reduced service | $13.49 | $13.49 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $7.41 | Professional | 53 · Discontinued | $5.37 | $5.37 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | FX · Film X-ray | $21.38 | $21.38 | $26.92 |
Where Massachusetts sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 6th of 51
$200
WI $269CT $37.15
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.