How much rates vary
Facilitymedian $282 · 10th to 90th $32 to $776Professionalmedian $288 · 10th to 90th $63 to $1,349
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 $173.78 Median $173.78 Typical High $741.31 | Facility | None | $173.78 | $173.78 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $173.78 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $17.38 | $17.38 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | TC · Technical part | $158.49 | $158.49 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $741.31 Typical High $851.14 | Facility | None | $239.88 | $741.31 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $173.78 Median $489.78 Typical High $1,348.96 | Professional | None (both parts) | $173.78 | $489.78 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $51.29 Typical High $331.13 | Professional | 26 · Professional part | $20.42 | $51.29 | $331.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $446.68 Typical High $1,202.26 | Professional | TC · Technical part | $151.36 | $446.68 | $1,202.26 |
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 $229.09 Median $302.00 Typical High $316.23 | Professional | None (both parts) | $229.09 | $302.00 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $758.58 Typical High $1,995.26 | Facility | None | $323.59 | $758.58 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $954.99 | Professional | None (both parts) | $288.40 | $309.03 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $93.33 | Professional | 26 · Professional part | $29.51 | $33.11 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $851.14 | Professional | TC · Technical part | $257.04 | $281.84 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $257.04 Typical High $338.84 | Facility | None | $30.20 | $257.04 | $338.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $257.04 Typical High $338.84 | Professional | None (both parts) | $30.20 | $257.04 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $208.93 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $208.93 | $416.87 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $45.71 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $186.21 | $354.81 | $588.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $741.31 Typical High $851.14 | Facility | None | $239.88 | $741.31 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $173.78 Median $489.78 Typical High $1,348.96 | Professional | None (both parts) | $173.78 | $489.78 | $1,348.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $51.29 Typical High $331.13 | Professional | 26 · Professional part | $20.42 | $51.29 | $331.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $446.68 Typical High $1,202.26 | Professional | TC · Technical part | $151.36 | $446.68 | $1,202.26 |
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 $173.78 Median $316.23 Typical High $912.01 | Professional | None (both parts) | $173.78 | $316.23 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $89.13 | Professional | 26 · Professional part | $21.88 | $31.62 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $288.40 Typical High $812.83 | Professional | TC · Technical part | $147.91 | $288.40 | $812.83 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $346.74 | Facility | None | $165.96 | $234.42 | $346.74 |
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 $151.36 Median $194.98 Typical High $346.74 | Facility | TC · Technical part | $151.36 | $194.98 | $346.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $162.18 | $194.98 | $194.98 |
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 $87.10 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $87.10 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $34.67 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | FX · Film X-ray | $141.25 | $141.25 | $194.98 |
Where Massachusetts sits
The same service costs 4.8 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
$288
AK $851KY $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.