How much rates vary
Facilitymedian $45 · 10th to 90th $26 to $123Professionalmedian $60 · 10th to 90th $31 to $1,738
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 $34.67 Median $34.67 Typical High $416.87 | Facility | None | $34.67 | $34.67 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $102.33 | Professional | None (both parts) | $34.67 | $34.67 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $17.78 | $17.78 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $79.43 | Professional | TC · Technical part | $16.98 | $16.98 | $79.43 |
AllWays Health Partners Setting Facility Modifier None Typical Low $23.99 Median $138.04 Typical High $165.96 | Facility | None | $23.99 | $138.04 | $165.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $43.65 Median $141.25 Typical High $1,737.80 | Professional | None (both parts) | $43.65 | $141.25 | $1,737.80 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $53.70 Typical High $218.78 | Professional | 26 · Professional part | $21.38 | $53.70 | $218.78 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $69.18 Typical High $1,621.81 | Professional | TC · Technical part | $19.50 | $69.18 | $1,621.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $72.44 | Facility | None | $35.48 | $52.48 | $72.44 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $63.10 | Professional | None (both parts) | $30.90 | $30.90 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $562.34 | Facility | None | $263.03 | $295.12 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $181.97 | Professional | None (both parts) | $54.95 | $64.57 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $95.50 | Professional | 26 · Professional part | $28.18 | $33.88 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $87.10 | Professional | TC · Technical part | $26.92 | $30.90 | $87.10 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $33.88 Typical High $74.13 | Facility | None | $25.70 | $33.88 | $74.13 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $70.79 | Professional | None (both parts) | $26.30 | $34.67 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $43.65 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $43.65 | $89.13 | $173.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $25.12 | $41.69 | $75.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $42.66 Typical High $91.20 | Professional | TC · Technical part | $22.91 | $42.66 | $91.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $23.99 Median $138.04 Typical High $165.96 | Facility | None | $23.99 | $138.04 | $165.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $43.65 Median $141.25 Typical High $1,737.80 | Professional | None (both parts) | $43.65 | $141.25 | $1,737.80 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $53.70 Typical High $218.78 | Professional | 26 · Professional part | $21.38 | $53.70 | $218.78 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $69.18 Typical High $1,621.81 | Professional | TC · Technical part | $19.50 | $69.18 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $102.33 Typical High $309.03 | Professional | None (both parts) | $51.29 | $102.33 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $91.20 | Professional | 26 · Professional part | $22.91 | $32.36 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $47.86 Typical High $275.42 | Professional | TC · Technical part | $22.91 | $47.86 | $275.42 |
Well Sense Setting Facility Modifier None Typical Low $32.36 Median $44.67 Typical High $66.07 | Facility | None | $32.36 | $44.67 | $66.07 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $39.81 | Facility | 26 · Professional part | $17.38 | $22.39 | $39.81 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $34.67 | Facility | TC · Technical part | $14.79 | $19.50 | $34.67 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $75.86 | $91.20 | $91.20 |
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 $17.38 Median $17.38 Typical High $50.12 | Professional | 52 · Reduced service | $17.38 | $17.38 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $20.42 | Professional | 53 · Discontinued | $7.08 | $7.08 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $81.28 | Professional | FX · Film X-ray | $28.18 | $28.18 | $81.28 |
Where Massachusetts sits
The same service costs 7.2 times more in Alabama 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· 38th of 51
$56.23
AL $251FL $34.67
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.