How much rates vary
Facilitymedian $126 · 10th to 90th $43 to $347Professionalmedian $138 · 10th to 90th $52 to $661
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 $52.48 Median $107.15 Typical High $407.38 | Facility | None | $52.48 | $107.15 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $263.03 | Professional | None (both parts) | $52.48 | $66.07 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $27.54 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $190.55 | Professional | TC · Technical part | $28.84 | $36.31 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $89.13 Median $275.42 Typical High $389.05 | Facility | None | $89.13 | $275.42 | $389.05 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $97.72 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $97.72 | $281.84 | $660.69 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $79.43 Typical High $229.09 | Professional | 26 · Professional part | $31.62 | $79.43 | $229.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $204.17 | $457.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $75.86 Median $162.18 Typical High $229.09 | Facility | None | $75.86 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $93.33 | $125.89 | $208.93 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $33.11 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $354.81 Typical High $602.56 | Facility | None | $134.90 | $354.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $109.65 | $134.90 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $38.02 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $97.72 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $38.90 Median $97.72 Typical High $165.96 | Facility | None | $38.90 | $97.72 | $165.96 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $38.90 | $104.71 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $83.18 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $83.18 | $169.82 | $302.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $63.10 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $144.54 | $213.80 |
Health New England Setting Facility Modifier None Typical Low $162.18 Median $338.84 Typical High $676.08 | Facility | None | $162.18 | $338.84 | $676.08 |
Health New England Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $245.47 | Professional | None (both parts) | $43.65 | $50.12 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $89.13 Median $275.42 Typical High $389.05 | Facility | None | $89.13 | $275.42 | $389.05 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $97.72 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $97.72 | $281.84 | $660.69 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $79.43 Typical High $229.09 | Professional | 26 · Professional part | $31.62 | $79.43 | $229.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $204.17 | $457.09 |
Tufts Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $407.38 | Facility | None | $79.43 | $151.36 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $100.00 | $114.82 | $181.97 |
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 $93.33 Median $138.04 Typical High $316.23 | Professional | None (both parts) | $93.33 | $138.04 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $39.81 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $229.09 | Professional | TC · Technical part | $63.10 | $100.00 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $162.18 | Facility | None | $79.43 | $109.65 | $162.18 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $52.48 | Facility | 26 · Professional part | $22.39 | $29.51 | $52.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $131.83 | Facility | TC · Technical part | $57.54 | $74.13 | $131.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $23.99 | $25.12 | $29.51 |
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 $25.70 Median $25.70 Typical High $75.86 | Professional | 52 · Reduced service | $25.70 | $25.70 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $30.20 | Professional | 53 · Discontinued | $10.47 | $10.47 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $323.59 | Professional | FX · Film X-ray | $41.69 | $41.69 | $323.59 |
Where Massachusetts sits
The same service costs 4.2 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· 15th of 51
$138
AK $302UT $72.44
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.