How much rates vary
Facilitymedian $83 · 10th to 90th $45 to $148Professionalmedian $107 · 10th to 90th $43 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 $25.12 Median $25.12 Typical High $144.54 | Facility | None | $25.12 | $25.12 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $144.54 | Professional | None (both parts) | $25.12 | $25.12 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $52.48 | Professional | 26 · Professional part | $14.45 | $14.45 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $10.72 Typical High $89.13 | Professional | TC · Technical part | $10.72 | $10.72 | $89.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $72.44 Median $93.33 Typical High $309.03 | Facility | None | $72.44 | $93.33 | $309.03 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $79.43 Median $229.09 Typical High $891.25 | Professional | None (both parts) | $79.43 | $229.09 | $891.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $85.11 Typical High $263.03 | Professional | 26 · Professional part | $26.92 | $85.11 | $263.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $147.91 Typical High $724.44 | Professional | TC · Technical part | $52.48 | $147.91 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $144.54 | Facility | None | $72.44 | $104.71 | $144.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | None (both parts) | $60.26 | $60.26 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $177.83 | Facility | None | $83.18 | $93.33 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $251.19 | Professional | None (both parts) | $104.71 | $107.15 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $39.81 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $67.61 | $158.49 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $75.86 Typical High $138.04 | Facility | None | $42.66 | $75.86 | $138.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $42.66 | $79.43 | $138.04 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $85.11 | $144.54 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $33.88 | $58.88 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $100.00 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $72.44 Median $93.33 Typical High $309.03 | Facility | None | $72.44 | $93.33 | $309.03 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $79.43 Median $229.09 Typical High $891.25 | Professional | None (both parts) | $79.43 | $229.09 | $891.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $85.11 Typical High $263.03 | Professional | 26 · Professional part | $26.92 | $85.11 | $263.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $147.91 Typical High $724.44 | Professional | TC · Technical part | $52.48 | $147.91 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $77.62 | $107.15 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $42.66 Typical High $95.50 | Professional | 26 · Professional part | $25.12 | $42.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $61.66 | $134.90 |
Well Sense Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $128.82 | Facility | None | $63.10 | $87.10 | $128.82 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $54.95 | Facility | 26 · Professional part | $23.44 | $30.20 | $54.95 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $91.20 | Facility | TC · Technical part | $38.90 | $50.12 | $91.20 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | None (both parts) | $32.36 | $32.36 | $38.90 |
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 $12.59 Median $12.59 Typical High $72.44 | Professional | 52 · Reduced service | $12.59 | $12.59 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $29.51 | Professional | 53 · Discontinued | $5.01 | $5.01 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $19.95 Typical High $117.49 | Professional | FX · Film X-ray | $19.95 | $19.95 | $117.49 |
Where Massachusetts sits
The same service costs 5.9 times more in Alaska than in Texas. 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
$107
AK $245TX $41.69
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.