How much rates vary
Facilitymedian $269 · 10th to 90th $93 to $1,479Professionalmedian $331 · 10th to 90th $162 to $3,311
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 $194.98 Median $194.98 Typical High $1,174.90 | Facility | None | $194.98 | $194.98 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $194.98 | $194.98 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $52.48 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $141.25 | $141.25 | $218.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $794.33 Typical High $1,096.48 | Facility | None | $269.15 | $794.33 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $234.42 Median $549.54 Typical High $3,311.31 | Professional | None (both parts) | $234.42 | $549.54 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $154.88 Typical High $1,148.15 | Professional | 26 · Professional part | $63.10 | $154.88 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $398.11 Typical High $2,290.87 | Professional | TC · Technical part | $158.49 | $398.11 | $2,290.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $1,288.25 Typical High $2,041.74 | Facility | None | $707.95 | $1,288.25 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $251.19 | $251.19 | $331.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $120.23 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $954.99 Typical High $1,862.09 | Facility | None | $269.15 | $954.99 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $1,000.00 | Professional | None (both parts) | $295.12 | $363.08 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $281.84 | Professional | 26 · Professional part | $85.11 | $100.00 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $263.03 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $85.11 Median $218.78 Typical High $363.08 | Facility | None | $85.11 | $218.78 | $363.08 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $89.13 | $218.78 | $363.08 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $263.03 | $478.63 | $912.01 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $72.44 | $131.83 | $218.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $323.59 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $794.33 Typical High $1,096.48 | Facility | None | $269.15 | $794.33 | $1,096.48 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $234.42 Median $549.54 Typical High $3,311.31 | Professional | None (both parts) | $234.42 | $549.54 | $3,311.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $154.88 Typical High $1,148.15 | Professional | 26 · Professional part | $63.10 | $154.88 | $1,148.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $398.11 Typical High $2,290.87 | Professional | TC · Technical part | $158.49 | $398.11 | $2,290.87 |
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 $288.40 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $288.40 | $398.11 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $263.03 | Professional | 26 · Professional part | $67.61 | $95.50 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $208.93 | $323.59 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $363.08 | Facility | None | $177.83 | $245.47 | $363.08 |
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 $125.89 Median $162.18 Typical High $295.12 | Facility | TC · Technical part | $125.89 | $162.18 | $295.12 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $239.88 | $288.40 | $288.40 |
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 $97.72 Median $97.72 Typical High $147.91 | Professional | 52 · Reduced service | $97.72 | $97.72 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $58.88 | Professional | 53 · Discontinued | $38.90 | $38.90 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | FX · Film X-ray | $154.88 | $154.88 | $234.42 |
Where Massachusetts sits
The same service costs 5.0 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· 33rd of 51
$309
AK $891TX $178
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.