How much rates vary
Facilitymedian $148 · 10th to 90th $44 to $380Professionalmedian $214 · 10th to 90th $74 to $891
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 $74.13 Median $74.13 Typical High $457.09 | Facility | None | $74.13 | $74.13 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $323.59 | Professional | None (both parts) | $74.13 | $91.20 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $27.54 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $245.47 | Professional | TC · Technical part | $48.98 | $61.66 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $338.84 Typical High $457.09 | Facility | None | $204.17 | $338.84 | $457.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $123.03 Median $354.81 Typical High $891.25 | Professional | None (both parts) | $123.03 | $354.81 | $891.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $85.11 Typical High $389.05 | Professional | 26 · Professional part | $33.88 | $85.11 | $389.05 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $288.40 Typical High $691.83 | Professional | TC · Technical part | $93.33 | $288.40 | $691.83 |
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 $138.04 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $138.04 | $141.25 | $234.42 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $380.19 Typical High $602.56 | Facility | None | $138.04 | $380.19 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $660.69 | Professional | None (both parts) | $154.88 | $269.15 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $40.74 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $229.09 Typical High $562.34 | Professional | TC · Technical part | $128.82 | $229.09 | $562.34 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $125.89 Typical High $199.53 | Facility | None | $42.66 | $125.89 | $199.53 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $42.66 | $134.90 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $134.90 | $257.04 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $66.07 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $107.15 | $194.98 | $331.13 |
Health New England Setting Facility Modifier None Typical Low $123.03 Median $416.87 Typical High $1,819.70 | Facility | None | $123.03 | $416.87 | $1,819.70 |
Health New England Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $323.59 | Professional | None (both parts) | $46.77 | $67.61 | $323.59 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $338.84 Typical High $457.09 | Facility | None | $204.17 | $338.84 | $457.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $123.03 Median $354.81 Typical High $891.25 | Professional | None (both parts) | $123.03 | $354.81 | $891.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $85.11 Typical High $389.05 | Professional | 26 · Professional part | $33.88 | $85.11 | $389.05 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $288.40 Typical High $691.83 | Professional | TC · Technical part | $93.33 | $288.40 | $691.83 |
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 $204.17 Typical High $478.63 | Professional | None (both parts) | $114.82 | $204.17 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $93.33 | Professional | 26 · Professional part | $31.62 | $42.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $173.78 Typical High $407.38 | Professional | TC · Technical part | $85.11 | $173.78 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $223.87 | Facility | None | $107.15 | $147.91 | $223.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $54.95 | Facility | 26 · Professional part | $23.99 | $30.90 | $54.95 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $194.98 | Facility | TC · Technical part | $85.11 | $109.65 | $194.98 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $112.20 | $112.20 | $134.90 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $26.92 | $32.36 |
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 $37.15 Median $37.15 Typical High $107.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $42.66 | Professional | 53 · Discontinued | $14.79 | $14.79 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $363.08 | Professional | FX · Film X-ray | $58.88 | $58.88 | $363.08 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $25.12 Typical High $40.74 | Professional | 52 · Reduced service | $17.78 | $25.12 | $40.74 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $20.42 Typical High $79.43 | Professional | 53 · Discontinued | $8.91 | $20.42 | $79.43 |
Where Massachusetts sits
The same service costs 4.9 times more in Wyoming 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
$209
WY $501UT $102
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.