How much rates vary
Facilitymedian $69 · 10th to 90th $26 to $263Professionalmedian $79 · 10th to 90th $40 to $692
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 $72.44 Median $72.44 Typical High $295.12 | Facility | None | $72.44 | $72.44 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $128.82 | Professional | None (both parts) | $72.44 | $72.44 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $39.81 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $32.36 | $50.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $173.78 Typical High $288.40 | Facility | None | $54.95 | $173.78 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $54.95 Median $134.90 Typical High $691.83 | Professional | None (both parts) | $54.95 | $134.90 | $691.83 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $83.18 Typical High $346.74 | Professional | 26 · Professional part | $33.88 | $83.18 | $346.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $57.54 Typical High $416.87 | Professional | TC · Technical part | $22.91 | $57.54 | $416.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $66.07 | Professional | None (both parts) | $23.99 | $23.99 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $602.56 | Facility | None | $134.90 | $199.53 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $147.91 | Professional | None (both parts) | $63.10 | $63.10 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $38.90 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $66.07 | Professional | TC · Technical part | $24.55 | $24.55 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $25.12 Median $42.66 Typical High $81.28 | Facility | None | $25.12 | $42.66 | $81.28 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $25.70 | $44.67 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $54.95 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $54.95 | $107.15 | $154.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $64.57 | $93.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $66.07 | Professional | TC · Technical part | $22.39 | $41.69 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $489.78 | Facility | None | $77.62 | $181.97 | $489.78 |
Health New England Setting Professional Modifier None (both parts) Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $54.95 | $57.54 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $173.78 Typical High $288.40 | Facility | None | $54.95 | $173.78 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $54.95 Median $134.90 Typical High $691.83 | Professional | None (both parts) | $54.95 | $134.90 | $691.83 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $83.18 Typical High $346.74 | Professional | 26 · Professional part | $33.88 | $83.18 | $346.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $57.54 Typical High $416.87 | Professional | TC · Technical part | $22.91 | $57.54 | $416.87 |
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 $53.70 Median $72.44 Typical High $154.88 | Professional | None (both parts) | $53.70 | $72.44 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $42.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $70.79 | Professional | TC · Technical part | $21.88 | $30.90 | $70.79 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $239.88 | Facility | None | $102.33 | $141.25 | $239.88 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $52.48 | Facility | 26 · Professional part | $22.91 | $30.90 | $52.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $18.20 Typical High $33.11 | Facility | TC · Technical part | $14.13 | $18.20 | $33.11 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $70.79 | $70.79 | $85.11 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $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 $36.31 Median $36.31 Typical High $51.29 | Professional | 52 · Reduced service | $36.31 | $36.31 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $20.42 | Professional | 53 · Discontinued | $14.45 | $14.45 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $234.42 | Professional | FX · Film X-ray | $57.54 | $57.54 | $234.42 |
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
$77.62
AK $151TX $39.81
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.