How much rates vary
Facilitymedian $79 · 10th to 90th $37 to $302Professionalmedian $87 · 10th to 90th $45 to $603
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 $44.67 Median $63.10 Typical High $380.19 | Facility | None | $44.67 | $63.10 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $158.49 | Professional | None (both parts) | $44.67 | $56.23 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $67.61 | Professional | 26 · Professional part | $21.38 | $23.99 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $93.33 | Professional | TC · Technical part | $23.44 | $29.51 | $93.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $60.26 Median $218.78 Typical High $288.40 | Facility | None | $60.26 | $218.78 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $63.10 Median $169.82 Typical High $602.56 | Professional | None (both parts) | $63.10 | $169.82 | $602.56 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $70.79 Typical High $194.98 | Professional | 26 · Professional part | $28.18 | $70.79 | $194.98 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $97.72 Typical High $426.58 | Professional | TC · Technical part | $36.31 | $97.72 | $426.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $229.09 | Facility | None | $70.79 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $74.13 | $120.23 | $120.23 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $30.20 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $331.13 Typical High $602.56 | Facility | None | $134.90 | $331.13 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $77.62 | $81.28 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $34.67 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $100.00 | Professional | TC · Technical part | $44.67 | $46.77 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $100.00 | Facility | None | $35.48 | $52.48 | $100.00 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $34.67 | $53.70 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $67.61 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $67.61 | $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 $36.31 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $74.13 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $74.13 Median $190.55 Typical High $891.25 | Facility | None | $74.13 | $190.55 | $891.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $128.82 | Professional | None (both parts) | $38.90 | $45.71 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $60.26 Median $218.78 Typical High $288.40 | Facility | None | $60.26 | $218.78 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $63.10 Median $169.82 Typical High $602.56 | Professional | None (both parts) | $63.10 | $169.82 | $602.56 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $70.79 Typical High $194.98 | Professional | 26 · Professional part | $28.18 | $70.79 | $194.98 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $97.72 Typical High $426.58 | Professional | TC · Technical part | $36.31 | $97.72 | $426.58 |
Tufts Setting Facility Modifier None Typical Low $74.13 Median $162.18 Typical High $489.78 | Facility | None | $74.13 | $162.18 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $61.66 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $61.66 | $100.00 | $125.89 |
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 $60.26 Median $81.28 Typical High $173.78 | Professional | None (both parts) | $60.26 | $81.28 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $36.31 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $109.65 | Professional | TC · Technical part | $31.62 | $43.65 | $109.65 |
Well Sense Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $93.33 | Facility | None | $41.69 | $63.10 | $93.33 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $47.86 | Facility | 26 · Professional part | $20.42 | $26.30 | $47.86 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $58.88 | Facility | TC · Technical part | $25.12 | $33.11 | $58.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $87.10 | $87.10 | $104.71 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $22.39 | $22.39 | $26.92 |
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 $22.39 Median $22.39 Typical High $63.10 | Professional | 52 · Reduced service | $22.39 | $22.39 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $25.12 | Professional | 53 · Discontinued | $8.91 | $8.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $302.00 | Professional | FX · Film X-ray | $35.48 | $35.48 | $302.00 |
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· 25th of 51
$85.11
AK $182TX $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.