How much rates vary
Facilitymedian $110 · 10th to 90th $40 to $275Professionalmedian $148 · 10th to 90th $79 to $646
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 $85.11 Median $144.54 Typical High $316.23 | Facility | None | $85.11 | $144.54 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $263.03 | Professional | None (both parts) | $85.11 | $85.11 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $22.91 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $61.66 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $363.08 | Facility | None | $112.20 | $218.78 | $363.08 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $95.50 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $95.50 | $275.42 | $645.65 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $75.86 Typical High $239.88 | Professional | 26 · Professional part | $30.90 | $75.86 | $239.88 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $72.44 | $199.53 | $467.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Facility | None | $70.79 | $104.71 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $67.61 | $89.13 | $95.50 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $32.36 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $389.05 | Facility | None | $89.13 | $208.93 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $125.89 | $134.90 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $37.15 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $234.42 | Professional | TC · Technical part | $93.33 | $97.72 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $162.18 | Facility | None | $38.02 | $97.72 | $162.18 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $38.02 | $104.71 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $95.50 | $186.21 | $295.12 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $31.62 | $57.54 | $81.28 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $144.54 | $213.80 |
Health New England Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $660.69 | Facility | None | $257.04 | $257.04 | $660.69 |
Health New England Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $363.08 | Facility | None | $112.20 | $218.78 | $363.08 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $95.50 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $95.50 | $275.42 | $645.65 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $75.86 Typical High $239.88 | Professional | 26 · Professional part | $30.90 | $75.86 | $239.88 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $72.44 | $199.53 | $467.74 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $87.10 | $134.90 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $38.90 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $58.88 | $102.33 | $213.80 |
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 $28.84 Typical High $51.29 | Facility | 26 · Professional part | $22.39 | $28.84 | $51.29 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $134.90 | Facility | TC · Technical part | $57.54 | $74.13 | $134.90 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | None (both parts) | $83.18 | $83.18 | $100.00 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $23.44 | $28.18 |
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 $42.66 Median $42.66 Typical High $74.13 | Professional | 52 · Reduced service | $42.66 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $30.20 | Professional | 53 · Discontinued | $16.98 | $16.98 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $251.19 | Professional | FX · Film X-ray | $67.61 | $67.61 | $251.19 |
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
$141
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.