How much rates vary
Facilitymedian $661 · 10th to 90th $98 to $1,175Professionalmedian $759 · 10th to 90th $204 to $3,236
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 $323.59 Median $323.59 Typical High $1,288.25 | Facility | None | $323.59 | $323.59 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $323.59 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $58.88 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $933.25 | Professional | TC · Technical part | $263.03 | $263.03 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $2,089.30 | Facility | None | $478.63 | $630.96 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,819.70 Typical High $3,235.94 | Professional | None (both parts) | $416.87 | $1,819.70 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $239.88 Typical High $1,047.13 | Professional | 26 · Professional part | $75.86 | $239.88 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,737.80 Typical High $2,818.38 | Professional | TC · Technical part | $371.54 | $1,737.80 | $2,818.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $794.33 | Facility | None | $257.04 | $363.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $741.31 Typical High $2,398.83 | Facility | None | $263.03 | $741.31 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $691.83 Typical High $1,819.70 | Professional | None (both parts) | $630.96 | $691.83 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $100.00 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $630.96 Typical High $1,621.81 | Professional | TC · Technical part | $575.44 | $630.96 | $1,621.81 |
Fallon Health Setting Facility Modifier None Typical Low $91.20 Median $676.08 Typical High $912.01 | Facility | None | $91.20 | $676.08 | $912.01 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $676.08 Typical High $912.01 | Professional | None (both parts) | $93.33 | $676.08 | $912.01 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $501.19 Median $912.01 Typical High $1,737.80 | Professional | None (both parts) | $501.19 | $912.01 | $1,737.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $229.09 | Professional | 26 · Professional part | $79.43 | $138.04 | $229.09 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $933.25 Typical High $1,548.82 | Professional | TC · Technical part | $478.63 | $933.25 | $1,548.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $2,089.30 | Facility | None | $478.63 | $630.96 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,819.70 Typical High $3,235.94 | Professional | None (both parts) | $416.87 | $1,819.70 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $239.88 Typical High $1,047.13 | Professional | 26 · Professional part | $75.86 | $239.88 | $1,047.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,737.80 Typical High $2,818.38 | Professional | TC · Technical part | $371.54 | $1,737.80 | $2,818.38 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,513.56 | Facility | None | $537.03 | $1,023.29 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $676.08 Typical High $1,949.84 | Professional | None (both parts) | $239.88 | $676.08 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $77.62 | $95.50 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $575.44 Typical High $1,737.80 | Professional | TC · Technical part | $158.49 | $575.44 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $870.96 | Facility | None | $416.87 | $575.44 | $870.96 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $123.03 | Facility | 26 · Professional part | $53.70 | $69.18 | $123.03 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $478.63 Typical High $851.14 | Facility | TC · Technical part | $371.54 | $478.63 | $851.14 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $309.03 | $371.54 | $371.54 |
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 $162.18 Median $162.18 Typical High $295.12 | Professional | 52 · Reduced service | $162.18 | $162.18 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | 53 · Discontinued | $64.57 | $64.57 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $467.74 | Professional | FX · Film X-ray | $257.04 | $257.04 | $467.74 |
Where Massachusetts sits
The same service costs 6.3 times more in Alaska than in Kentucky. 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
$708
AK $2,188KY $347
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.