How much rates vary
Facilitymedian $158 · 10th to 90th $55 to $427Professionalmedian $178 · 10th to 90th $55 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 $38.90 Median $38.90 Typical High $218.78 | Facility | None | $38.90 | $38.90 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $218.78 | Professional | None (both parts) | $38.90 | $38.90 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $31.62 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $7.41 Typical High $125.89 | Professional | TC · Technical part | $7.41 | $7.41 | $125.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $389.05 Typical High $524.81 | Facility | None | $134.90 | $389.05 | $524.81 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $123.03 Median $457.09 Typical High $891.25 | Professional | None (both parts) | $123.03 | $457.09 | $891.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $131.83 Typical High $426.58 | Professional | 26 · Professional part | $41.69 | $131.83 | $426.58 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $363.08 Typical High $645.65 | Professional | TC · Technical part | $87.10 | $363.08 | $645.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $446.68 | Facility | None | $141.25 | $199.53 | $446.68 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $44.67 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $223.87 Typical High $1,230.27 | Facility | None | $87.10 | $223.87 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $467.74 | Professional | None (both parts) | $138.04 | $173.78 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $54.95 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $346.74 | Professional | TC · Technical part | $89.13 | $125.89 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $141.25 Typical High $229.09 | Facility | None | $52.48 | $141.25 | $229.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $52.48 | $141.25 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $141.25 | $288.40 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $77.62 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $194.98 | $323.59 |
Health New England Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Health New England Setting Professional Modifier None (both parts) Typical Low $57.54 Median $58.88 Typical High $72.44 | Professional | None (both parts) | $57.54 | $58.88 | $72.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $389.05 Typical High $524.81 | Facility | None | $134.90 | $389.05 | $524.81 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $123.03 Median $457.09 Typical High $891.25 | Professional | None (both parts) | $123.03 | $457.09 | $891.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $131.83 Typical High $426.58 | Professional | 26 · Professional part | $41.69 | $131.83 | $426.58 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $363.08 Typical High $645.65 | Professional | TC · Technical part | $87.10 | $363.08 | $645.65 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $489.78 | Professional | None (both parts) | $123.03 | $169.82 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $41.69 | $53.70 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $354.81 | Professional | TC · Technical part | $70.79 | $117.49 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $223.87 | Facility | None | $107.15 | $151.36 | $223.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $69.18 | Facility | 26 · Professional part | $29.51 | $38.90 | $69.18 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $181.97 | Facility | TC · Technical part | $79.43 | $102.33 | $181.97 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $48.98 | $58.88 | $58.88 |
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 $19.50 Median $19.50 Typical High $67.61 | Professional | 52 · Reduced service | $19.50 | $19.50 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $26.92 | Professional | 53 · Discontinued | $7.94 | $7.94 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $107.15 | Professional | FX · Film X-ray | $31.62 | $31.62 | $107.15 |
Where Massachusetts sits
The same service costs 6.9 times more in Alaska than in Michigan. 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
$174
AK $525MI $75.86
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.