How much rates vary
Facilitymedian $115 · 10th to 90th $48 to $251Professionalmedian $141 · 10th to 90th $52 to $955
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $112.20 | Professional | 26 · Professional part | $24.55 | $24.55 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $407.38 | Facility | None | $95.50 | $131.83 | $407.38 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $69.18 Median $186.21 Typical High $954.99 | Professional | None (both parts) | $69.18 | $186.21 | $954.99 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $77.62 Typical High $245.47 | Professional | 26 · Professional part | $32.36 | $77.62 | $245.47 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $177.83 Typical High $758.58 | Professional | TC · Technical part | $64.57 | $177.83 | $758.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $281.84 | Facility | None | $141.25 | $204.17 | $281.84 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $213.80 Typical High $239.88 | Facility | None | $177.83 | $213.80 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $295.12 | Professional | None (both parts) | $128.82 | $128.82 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $44.67 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $83.18 | $194.98 |
Fallon Health Setting Facility Modifier None Typical Low $45.71 Median $97.72 Typical High $173.78 | Facility | None | $45.71 | $97.72 | $173.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $45.71 | $100.00 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $114.82 | $169.82 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $61.66 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $79.43 | $154.88 | $218.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $407.38 | Facility | None | $95.50 | $131.83 | $407.38 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $69.18 Median $186.21 Typical High $954.99 | Professional | None (both parts) | $69.18 | $186.21 | $954.99 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $77.62 Typical High $245.47 | Professional | 26 · Professional part | $32.36 | $77.62 | $245.47 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $177.83 Typical High $758.58 | Professional | TC · Technical part | $64.57 | $177.83 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $316.23 | Professional | None (both parts) | $100.00 | $147.91 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $100.00 | Professional | 26 · Professional part | $34.67 | $45.71 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $64.57 | $102.33 | $218.78 |
Well Sense Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $162.18 | Facility | None | $83.18 | $102.33 | $162.18 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $53.70 | Facility | 26 · Professional part | $26.30 | $33.88 | $53.70 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $117.49 | Facility | TC · Technical part | $57.54 | $69.18 | $117.49 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $79.43 | $79.43 | $95.50 |
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 $34.67 Median $34.67 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $16.98 | Professional | 53 · Discontinued | $14.13 | $14.13 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | FX · Film X-ray | $56.23 | $56.23 | $56.23 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 12th of 51
$135
AK $282OR $61.66
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.