How much rates vary
Facilitymedian $234 · 10th to 90th $32 to $724Professionalmedian $240 · 10th to 90th $44 to $1,288
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 $588.84 | Facility | None | $147.91 | $147.91 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $147.91 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $26.30 | Professional | 26 · Professional part | $17.38 | $17.38 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $131.83 | $131.83 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $616.60 Typical High $851.14 | Facility | None | $194.98 | $616.60 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $446.68 Typical High $1,288.25 | Professional | None (both parts) | $154.88 | $446.68 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $52.48 Typical High $398.11 | Professional | 26 · Professional part | $20.89 | $52.48 | $398.11 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $389.05 Typical High $1,122.02 | Professional | TC · Technical part | $138.04 | $389.05 | $1,122.02 |
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 $213.80 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $213.80 | $251.19 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $1,995.26 | Facility | None | $234.42 | $588.84 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $851.14 | Professional | None (both parts) | $239.88 | $269.15 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $100.00 | Professional | 26 · Professional part | $29.51 | $33.88 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $758.58 | Professional | TC · Technical part | $208.93 | $251.19 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $204.17 Typical High $281.84 | Facility | None | $30.20 | $204.17 | $281.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $30.20 | $204.17 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $173.78 | $354.81 | $812.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $44.67 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $281.84 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $616.60 Typical High $851.14 | Facility | None | $194.98 | $616.60 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $154.88 Median $446.68 Typical High $1,288.25 | Professional | None (both parts) | $154.88 | $446.68 | $1,288.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $52.48 Typical High $398.11 | Professional | 26 · Professional part | $20.89 | $52.48 | $398.11 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $389.05 Typical High $1,122.02 | Professional | TC · Technical part | $138.04 | $389.05 | $1,122.02 |
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 $102.33 Median $281.84 Typical High $812.83 | Professional | None (both parts) | $102.33 | $281.84 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $93.33 | Professional | 26 · Professional part | $22.39 | $33.11 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $251.19 Typical High $724.44 | Professional | TC · Technical part | $77.62 | $251.19 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $323.59 | Facility | None | $154.88 | $213.80 | $323.59 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $41.69 | Facility | 26 · Professional part | $17.78 | $23.44 | $41.69 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $323.59 | Facility | TC · Technical part | $138.04 | $181.97 | $323.59 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $131.83 | $158.49 | $158.49 |
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 $169.82 | Professional | FX · Film X-ray | $120.23 | $120.23 | $169.82 |
Where Massachusetts sits
The same service costs 5.5 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· 24th of 51
$240
AK $759KY $138
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.