How much rates vary
Facilitymedian $141 · 10th to 90th $28 to $776Professionalmedian $151 · 10th to 90th $40 to $871
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 $107.15 Median $107.15 Typical High $478.63 | Facility | None | $107.15 | $107.15 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $107.15 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $19.05 | $19.05 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | TC · Technical part | $87.10 | $87.10 | $104.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $120.23 Median $380.19 Typical High $851.14 | Facility | None | $120.23 | $380.19 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $109.65 Median $245.47 Typical High $870.96 | Professional | None (both parts) | $109.65 | $245.47 | $870.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $46.77 Typical High $199.53 | Professional | 26 · Professional part | $20.89 | $46.77 | $199.53 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $208.93 Typical High $724.44 | Professional | TC · Technical part | $87.10 | $208.93 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $812.83 | Facility | None | $407.38 | $588.84 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $138.04 | $138.04 | $165.96 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $33.88 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $457.09 Typical High $1,548.82 | Facility | None | $144.54 | $457.09 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $467.74 | Professional | None (both parts) | $141.25 | $165.96 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $83.18 | Professional | 26 · Professional part | $25.70 | $30.90 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $380.19 | Professional | TC · Technical part | $117.49 | $134.90 | $380.19 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $120.23 Typical High $173.78 | Facility | None | $26.92 | $120.23 | $173.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $26.92 | $120.23 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $125.89 | $223.87 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $23.44 | $39.81 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $169.82 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $120.23 Median $380.19 Typical High $851.14 | Facility | None | $120.23 | $380.19 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $109.65 Median $245.47 Typical High $870.96 | Professional | None (both parts) | $109.65 | $245.47 | $870.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $46.77 Typical High $199.53 | Professional | 26 · Professional part | $20.89 | $46.77 | $199.53 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $208.93 Typical High $724.44 | Professional | TC · Technical part | $87.10 | $208.93 | $724.44 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,584.89 | Facility | None | $562.34 | $1,047.13 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $128.82 | $169.82 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $79.43 | Professional | 26 · Professional part | $23.44 | $28.84 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $363.08 | Professional | TC · Technical part | $102.33 | $138.04 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $165.96 | Facility | None | $81.28 | $112.20 | $165.96 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $35.48 | Facility | 26 · Professional part | $15.49 | $19.95 | $35.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $154.88 | Facility | TC · Technical part | $66.07 | $87.10 | $154.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $102.33 | $123.03 | $123.03 |
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 $53.70 Median $53.70 Typical High $66.07 | Professional | 52 · Reduced service | $53.70 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $21.38 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $120.23 | Professional | FX · Film X-ray | $85.11 | $85.11 | $120.23 |
Where Massachusetts sits
The same service costs 5.1 times more in Alabama than in Florida. 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· 29th of 51
$148
AL $479FL $93.33
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.