How much rates vary
Facilitymedian $186 · 10th to 90th $87 to $380Professionalmedian $245 · 10th to 90th $107 to $933
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 $109.65 Median $288.40 Typical High $407.38 | Facility | None | $109.65 | $288.40 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $407.38 | Professional | None (both parts) | $109.65 | $109.65 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $158.49 | Professional | 26 · Professional part | $42.66 | $42.66 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $239.88 | Professional | TC · Technical part | $66.07 | $66.07 | $239.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $707.95 | Facility | None | $138.04 | $218.78 | $707.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $128.82 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $128.82 | $501.19 | $933.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $169.82 Typical High $371.54 | Professional | 26 · Professional part | $58.88 | $169.82 | $371.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $371.54 Typical High $575.44 | Professional | TC · Technical part | $77.62 | $371.54 | $575.44 |
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 $120.23 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $120.23 | $120.23 | $131.83 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $72.44 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $288.40 Typical High $602.56 | Facility | None | $138.04 | $288.40 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $177.83 | $245.47 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $79.43 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $165.96 | $288.40 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $181.97 Typical High $316.23 | Facility | None | $81.28 | $181.97 | $316.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $83.18 | $199.53 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $151.36 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $151.36 | $371.54 | $549.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $63.10 | $131.83 | $194.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $93.33 | $257.04 | $380.19 |
Health New England Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $831.76 | Facility | None | $151.36 | $208.93 | $831.76 |
Health New England Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $562.34 | Professional | None (both parts) | $85.11 | $89.13 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $707.95 | Facility | None | $138.04 | $218.78 | $707.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $128.82 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $128.82 | $501.19 | $933.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $169.82 Typical High $371.54 | Professional | 26 · Professional part | $58.88 | $169.82 | $371.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $371.54 Typical High $575.44 | Professional | TC · Technical part | $77.62 | $371.54 | $575.44 |
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 $114.82 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $114.82 | $186.21 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $165.96 | Professional | 26 · Professional part | $50.12 | $74.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $58.88 | $117.49 | $269.15 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $251.19 | Facility | None | $123.03 | $169.82 | $251.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $102.33 | Facility | 26 · Professional part | $44.67 | $57.54 | $102.33 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $181.97 | Facility | TC · Technical part | $77.62 | $100.00 | $181.97 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $42.66 | $51.29 |
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 $53.70 Median $53.70 Typical High $131.83 | Professional | 52 · Reduced service | $53.70 | $53.70 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $52.48 | Professional | 53 · Discontinued | $21.88 | $21.88 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $323.59 | Professional | FX · Film X-ray | $87.10 | $87.10 | $323.59 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $50.12 Typical High $81.28 | Professional | 52 · Reduced service | $35.48 | $50.12 | $81.28 |
Where Massachusetts sits
The same service costs 4.9 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· 11th of 51
$245
AK $468UT $95.50
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.