How much rates vary
Facilitymedian $66 · 10th to 90th $32 to $263Professionalmedian $91 · 10th to 90th $47 to $724
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 $81.28 Median $81.28 Typical High $316.23 | Facility | None | $81.28 | $81.28 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $79.43 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $40.74 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $40.74 | $40.74 | $54.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $53.70 Median $204.17 Typical High $288.40 | Facility | None | $53.70 | $204.17 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $64.57 Median $158.49 Typical High $724.44 | Professional | None (both parts) | $64.57 | $158.49 | $724.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $95.50 Typical High $316.23 | Professional | 26 · Professional part | $38.90 | $95.50 | $316.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $70.79 Typical High $457.09 | Professional | TC · Technical part | $26.92 | $70.79 | $457.09 |
BCBS Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $81.28 | Professional | None (both parts) | $29.51 | $29.51 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $602.56 | Facility | None | $134.90 | $208.93 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $173.78 | Professional | None (both parts) | $75.86 | $75.86 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $30.20 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $48.98 Typical High $95.50 | Facility | None | $30.20 | $48.98 | $95.50 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $31.62 | $52.48 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $63.10 | $123.03 | $181.97 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $74.13 | $107.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $50.12 Typical High $79.43 | Professional | TC · Technical part | $26.92 | $50.12 | $79.43 |
Mass General Brigham Setting Facility Modifier None Typical Low $53.70 Median $204.17 Typical High $288.40 | Facility | None | $53.70 | $204.17 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $64.57 Median $158.49 Typical High $724.44 | Professional | None (both parts) | $64.57 | $158.49 | $724.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $95.50 Typical High $316.23 | Professional | 26 · Professional part | $38.90 | $95.50 | $316.23 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $70.79 Typical High $457.09 | Professional | TC · Technical part | $26.92 | $70.79 | $457.09 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $181.97 | Professional | None (both parts) | $63.10 | $85.11 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $47.86 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $85.11 | Professional | TC · Technical part | $26.30 | $37.15 | $85.11 |
Well Sense Setting Facility Modifier None Typical Low $43.65 Median $60.26 Typical High $91.20 | Facility | None | $43.65 | $60.26 | $91.20 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $61.66 | Facility | 26 · Professional part | $26.30 | $34.67 | $61.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $40.74 | Facility | TC · Technical part | $17.38 | $22.39 | $40.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $75.86 | $75.86 | $91.20 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $37.15 | $38.90 | $46.77 |
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 $40.74 Median $40.74 Typical High $56.23 | Professional | 52 · Reduced service | $40.74 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | 53 · Discontinued | $16.22 | $16.22 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $251.19 | Professional | FX · Film X-ray | $64.57 | $64.57 | $251.19 |
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· 27th of 51
$89.13
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.