How much rates vary
Facilitymedian $56 · 10th to 90th $30 to $209Professionalmedian $74 · 10th to 90th $36 to $501
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 $61.66 Median $61.66 Typical High $223.87 | Facility | None | $61.66 | $61.66 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $125.89 | Professional | None (both parts) | $61.66 | $61.66 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $23.44 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $38.90 | $38.90 | $69.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $141.25 Typical High $190.55 | Facility | None | $54.95 | $141.25 | $190.55 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $51.29 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $51.29 | $134.90 | $501.19 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $60.26 Typical High $331.13 | Professional | 26 · Professional part | $24.55 | $60.26 | $331.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $74.13 Typical High $331.13 | Professional | TC · Technical part | $26.92 | $74.13 | $331.13 |
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 $29.51 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $29.51 | $33.11 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $389.05 | Facility | None | $89.13 | $199.53 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $144.54 | Professional | None (both parts) | $63.10 | $63.10 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $28.84 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $79.43 | Professional | TC · Technical part | $33.88 | $33.88 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $79.43 | Facility | None | $29.51 | $38.90 | $79.43 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $29.51 | $42.66 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $56.23 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $56.23 | $102.33 | $151.36 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $47.86 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $56.23 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $56.23 | $79.43 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $141.25 Typical High $190.55 | Facility | None | $54.95 | $141.25 | $190.55 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $51.29 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $51.29 | $134.90 | $501.19 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $60.26 Typical High $331.13 | Professional | 26 · Professional part | $24.55 | $60.26 | $331.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $74.13 Typical High $331.13 | Professional | TC · Technical part | $26.92 | $74.13 | $331.13 |
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 $48.98 Median $67.61 Typical High $144.54 | Professional | None (both parts) | $48.98 | $67.61 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $30.20 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $77.62 | Professional | TC · Technical part | $25.70 | $36.31 | $77.62 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $48.98 Typical High $74.13 | Facility | None | $22.91 | $48.98 | $74.13 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $38.90 | Facility | 26 · Professional part | $16.60 | $21.88 | $38.90 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $45.71 | Facility | TC · Technical part | $19.50 | $25.70 | $45.71 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $53.70 | $53.70 | $64.57 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $21.38 | $22.39 | $26.92 |
4 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 $30.90 Median $30.90 Typical High $43.65 | Professional | 52 · Reduced service | $30.90 | $30.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $17.38 | Professional | 53 · Discontinued | $12.59 | $12.59 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $177.83 | Professional | FX · Film X-ray | $50.12 | $50.12 | $177.83 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $81.28 Typical High $114.82 | Facility | 52 · Reduced service | $64.57 | $81.28 | $114.82 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 19th of 51
$72.44
AK $141UT $31.62
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.