How much rates vary
Facilitymedian $91 · 10th to 90th $41 to $195Professionalmedian $129 · 10th to 90th $68 to $1,738
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 $67.61 Median $67.61 Typical High $478.63 | Facility | None | $67.61 | $67.61 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $213.80 | Professional | None (both parts) | $67.61 | $67.61 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $48.98 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $67.61 | Professional | TC · Technical part | $19.05 | $19.05 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $354.81 | Facility | None | $83.18 | $109.65 | $354.81 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $97.72 Median $281.84 Typical High $1,737.80 | Professional | None (both parts) | $97.72 | $281.84 | $1,737.80 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $181.97 Typical High $512.86 | Professional | 26 · Professional part | $69.18 | $181.97 | $512.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $87.10 Typical High $1,412.54 | Professional | TC · Technical part | $30.20 | $87.10 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $89.13 | Facility | None | $44.67 | $66.07 | $89.13 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $660.69 | Facility | None | $234.42 | $257.04 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $302.00 | Professional | None (both parts) | $125.89 | $125.89 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $87.10 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $39.81 | $93.33 |
Fallon Health Setting Facility Modifier None Typical Low $38.90 Median $93.33 Typical High $158.49 | Facility | None | $38.90 | $93.33 | $158.49 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $40.74 | $95.50 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $83.18 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $83.18 | $141.25 | $302.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $75.86 | $144.54 | $213.80 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $32.36 | $63.10 | $97.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $354.81 | Facility | None | $83.18 | $109.65 | $354.81 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $97.72 Median $281.84 Typical High $1,737.80 | Professional | None (both parts) | $97.72 | $281.84 | $1,737.80 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $181.97 Typical High $512.86 | Professional | 26 · Professional part | $69.18 | $181.97 | $512.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $87.10 Typical High $1,412.54 | Professional | TC · Technical part | $30.20 | $87.10 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $346.74 | Professional | None (both parts) | $104.71 | $131.83 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $67.61 | $91.20 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $199.53 | Professional | TC · Technical part | $30.20 | $39.81 | $199.53 |
Well Sense Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $147.91 | Facility | None | $70.79 | $97.72 | $147.91 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $114.82 | Facility | 26 · Professional part | $50.12 | $63.10 | $114.82 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $50.12 | Facility | TC · Technical part | $21.88 | $28.18 | $50.12 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $100.00 | $100.00 | $120.23 |
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 $33.88 Median $33.88 Typical High $239.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $95.50 | Professional | 53 · Discontinued | $13.49 | $13.49 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $389.05 | Professional | FX · Film X-ray | $54.95 | $54.95 | $389.05 |
Where Massachusetts sits
The same service costs 5.2 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· 23rd of 51
$126
AK $309TX $58.88
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.