How much rates vary
Facilitymedian $331 · 10th to 90th $93 to $1,202Professionalmedian $398 · 10th to 90th $186 to $2,291
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 $239.88 Median $1,288.25 Typical High $1,905.46 | Facility | None | $239.88 | $1,288.25 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $239.88 | $239.88 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $52.48 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $186.21 | $489.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $323.59 Median $794.33 Typical High $1,071.52 | Facility | None | $323.59 | $794.33 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $2,290.87 | Professional | None (both parts) | $281.84 | $630.96 | $2,290.87 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $151.36 Typical High $933.25 | Professional | 26 · Professional part | $63.10 | $151.36 | $933.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $489.78 Typical High $1,905.46 | Professional | TC · Technical part | $208.93 | $489.78 | $1,905.46 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,584.89 | Facility | None | $549.54 | $1,000.00 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | None (both parts) | $331.13 | $331.13 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,071.52 Typical High $1,862.09 | Facility | None | $346.74 | $1,071.52 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $426.58 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $275.42 | Professional | 26 · Professional part | $85.11 | $97.72 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $275.42 | $338.84 | $933.25 |
Fallon Health Setting Facility Modifier None Typical Low $87.10 Median $281.84 Typical High $446.68 | Facility | None | $87.10 | $281.84 | $446.68 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $89.13 | $281.84 | $446.68 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $323.59 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $323.59 | $562.34 | $954.99 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $72.44 | $134.90 | $218.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $416.87 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $416.87 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $323.59 Median $794.33 Typical High $1,071.52 | Facility | None | $323.59 | $794.33 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $2,290.87 | Professional | None (both parts) | $281.84 | $630.96 | $2,290.87 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $151.36 Typical High $933.25 | Professional | 26 · Professional part | $63.10 | $151.36 | $933.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $489.78 Typical High $1,905.46 | Professional | TC · Technical part | $208.93 | $489.78 | $1,905.46 |
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 $346.74 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $346.74 | $436.52 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $263.03 | Professional | 26 · Professional part | $67.61 | $93.33 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $870.96 | Professional | TC · Technical part | $269.15 | $338.84 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $436.52 | Facility | None | $213.80 | $295.12 | $436.52 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $117.49 | Facility | 26 · Professional part | $50.12 | $66.07 | $117.49 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $380.19 | Facility | TC · Technical part | $162.18 | $213.80 | $380.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $269.15 | $323.59 | $323.59 |
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 $117.49 Median $117.49 Typical High $169.82 | Professional | 52 · Reduced service | $117.49 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | 53 · Discontinued | $47.86 | $47.86 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | FX · Film X-ray | $190.55 | $190.55 | $269.15 |
Where Massachusetts sits
The same service costs 5.1 times more in Alaska 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
$380
AK $1,096TX $214
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.