How much rates vary
Facilitymedian $229 · 10th to 90th $49 to $724Professionalmedian $240 · 10th to 90th $76 to $1,148
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 $147.91 Median $147.91 Typical High $707.95 | Facility | None | $147.91 | $147.91 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $147.91 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $28.18 | $28.18 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $120.23 | $120.23 | $173.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $630.96 Typical High $851.14 | Facility | None | $165.96 | $630.96 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $138.04 Median $407.38 Typical High $1,148.15 | Professional | None (both parts) | $138.04 | $407.38 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $81.28 Typical High $331.13 | Professional | 26 · Professional part | $33.88 | $81.28 | $331.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $354.81 Typical High $933.25 | Professional | TC · Technical part | $112.20 | $354.81 | $933.25 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $645.65 Typical High $1,862.09 | Facility | None | $239.88 | $645.65 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $776.25 | Professional | None (both parts) | $234.42 | $263.03 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $144.54 | Professional | 26 · Professional part | $45.71 | $52.48 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $213.80 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $213.80 | $630.96 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $194.98 Typical High $288.40 | Facility | None | $46.77 | $194.98 | $288.40 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $46.77 | $194.98 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $173.78 | $354.81 | $741.31 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $38.90 | $69.18 | $114.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $269.15 | $457.09 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $630.96 Typical High $851.14 | Facility | None | $165.96 | $630.96 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $138.04 Median $407.38 Typical High $1,148.15 | Professional | None (both parts) | $138.04 | $407.38 | $1,148.15 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $81.28 Typical High $331.13 | Professional | 26 · Professional part | $33.88 | $81.28 | $331.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $354.81 Typical High $933.25 | Professional | TC · Technical part | $112.20 | $354.81 | $933.25 |
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 $134.90 Median $269.15 Typical High $741.31 | Professional | None (both parts) | $134.90 | $269.15 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $138.04 | Professional | 26 · Professional part | $36.31 | $50.12 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $93.33 | $218.78 | $602.56 |
Well Sense Setting Facility Modifier None Typical Low $138.04 Median $190.55 Typical High $281.84 | Facility | None | $138.04 | $190.55 | $281.84 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $61.66 | Facility | 26 · Professional part | $26.30 | $34.67 | $61.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $263.03 | Facility | TC · Technical part | $112.20 | $144.54 | $263.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $154.88 | $186.21 | $186.21 |
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 $74.13 Median $74.13 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $29.51 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | FX · Film X-ray | $120.23 | $120.23 | $165.96 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska 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· 23rd of 51
$234
AK $562FL $148
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.