How much rates vary
Facilitymedian $219 · 10th to 90th $49 to $2,291Professionalmedian $229 · 10th to 90th $69 to $1,096
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 $144.54 Median $144.54 Typical High $676.08 | Facility | None | $144.54 | $144.54 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $27.54 | $27.54 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $117.49 | $117.49 | $162.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $616.60 Typical High $2,951.21 | Facility | None | $162.18 | $616.60 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $144.54 Median $389.05 Typical High $1,096.48 | Professional | None (both parts) | $144.54 | $389.05 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $79.43 Typical High $331.13 | Professional | 26 · Professional part | $32.36 | $79.43 | $331.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $331.13 Typical High $870.96 | Professional | TC · Technical part | $109.65 | $331.13 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,041.74 | $2,818.38 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $147.91 | $194.98 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $1,258.93 Typical High $3,981.07 | Facility | None | $204.17 | $1,258.93 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $691.83 | Professional | None (both parts) | $213.80 | $251.19 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $51.29 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $218.78 | $549.54 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $190.55 Typical High $281.84 | Facility | None | $46.77 | $190.55 | $281.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $46.77 | $190.55 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $177.83 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $177.83 | $346.74 | $724.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $69.18 | $112.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $134.90 | $257.04 | $436.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $616.60 Typical High $2,951.21 | Facility | None | $162.18 | $616.60 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $144.54 Median $389.05 Typical High $1,096.48 | Professional | None (both parts) | $144.54 | $389.05 | $1,096.48 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $79.43 Typical High $331.13 | Professional | 26 · Professional part | $32.36 | $79.43 | $331.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $331.13 Typical High $870.96 | Professional | TC · Technical part | $109.65 | $331.13 | $870.96 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $251.19 Typical High $660.69 | Professional | None (both parts) | $151.36 | $251.19 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $134.90 | Professional | 26 · Professional part | $34.67 | $48.98 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $204.17 Typical High $524.81 | Professional | TC · Technical part | $109.65 | $204.17 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $251.19 | Facility | None | $123.03 | $169.82 | $251.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $60.26 | Facility | 26 · Professional part | $25.70 | $33.88 | $60.26 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $223.87 | Facility | TC · Technical part | $97.72 | $125.89 | $223.87 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $151.36 | $181.97 | $181.97 |
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 $72.44 Median $72.44 Typical High $100.00 | Professional | 52 · Reduced service | $72.44 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $39.81 | Professional | 53 · Discontinued | $28.84 | $28.84 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | FX · Film X-ray | $114.82 | $114.82 | $162.18 |
Where Massachusetts sits
The same service costs 4.8 times more in Alabama than in Texas. 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· 28th of 51
$224
AL $661TX $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.