How much rates vary
Facilitymedian $78 · 10th to 90th $38 to $263Professionalmedian $98 · 10th to 90th $44 to $468
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 $58.88 Median $69.18 Typical High $288.40 | Facility | None | $58.88 | $69.18 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $72.44 Typical High $162.18 | Professional | None (both parts) | $69.18 | $72.44 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $69.18 | Professional | 26 · Professional part | $20.42 | $23.44 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $50.12 | $91.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $69.18 Median $218.78 Typical High $288.40 | Facility | None | $69.18 | $218.78 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $69.18 Median $169.82 Typical High $467.74 | Professional | None (both parts) | $69.18 | $169.82 | $467.74 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $72.44 Typical High $275.42 | Professional | 26 · Professional part | $28.18 | $72.44 | $275.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $97.72 Typical High $416.87 | Professional | TC · Technical part | $46.77 | $97.72 | $416.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $64.57 Median $162.18 Typical High $229.09 | Facility | None | $64.57 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $40.74 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $40.74 | $70.79 | $97.72 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $30.90 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $245.47 Typical High $389.05 | Facility | None | $89.13 | $245.47 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $181.97 | Professional | None (both parts) | $77.62 | $77.62 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $33.88 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $43.65 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $100.00 | Facility | None | $35.48 | $51.29 | $100.00 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $35.48 | $53.70 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $74.13 | $125.89 | $190.55 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $29.51 | $57.54 | $83.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $72.44 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $467.74 | Facility | None | $120.23 | $186.21 | $467.74 |
Health New England Setting Professional Modifier None (both parts) Typical Low $22.39 Median $44.67 Typical High $223.87 | Professional | None (both parts) | $22.39 | $44.67 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $69.18 Median $218.78 Typical High $288.40 | Facility | None | $69.18 | $218.78 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $69.18 Median $169.82 Typical High $467.74 | Professional | None (both parts) | $69.18 | $169.82 | $467.74 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $72.44 Typical High $275.42 | Professional | 26 · Professional part | $28.18 | $72.44 | $275.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $97.72 Typical High $416.87 | Professional | TC · Technical part | $46.77 | $97.72 | $416.87 |
Tufts Setting Facility Modifier None Typical Low $43.65 Median $158.49 Typical High $407.38 | Facility | None | $43.65 | $158.49 | $407.38 |
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 $72.44 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $72.44 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $36.31 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $66.07 | $107.15 |
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 $20.42 Median $26.30 Typical High $46.77 | Facility | 26 · Professional part | $20.42 | $26.30 | $46.77 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $54.95 | Facility | TC · Technical part | $23.44 | $30.90 | $54.95 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $67.61 | $67.61 | $81.28 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $25.12 | Professional | 26 · Professional part | $20.42 | $20.89 | $25.12 |
5 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 $34.67 Median $34.67 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $14.13 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $234.42 | Professional | FX · Film X-ray | $56.23 | $56.23 | $234.42 |
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 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $35.48 Typical High $83.18 | Professional | 52 · Reduced service | $15.49 | $35.48 | $83.18 |
Where Massachusetts sits
The same service costs 4.1 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· 14th of 51
$97.72
AK $195TX $47.86
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.