How much rates vary
Facilitymedian $138 · 10th to 90th $23 to $724Professionalmedian $138 · 10th to 90th $37 to $1,122
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 $89.13 Median $89.13 Typical High $354.81 | Facility | None | $89.13 | $89.13 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $89.13 | $89.13 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $26.92 | Professional | 26 · Professional part | $13.18 | $13.18 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $75.86 | $158.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $851.14 | Facility | None | $100.00 | $363.08 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $91.20 Median $234.42 Typical High $1,122.02 | Professional | None (both parts) | $91.20 | $234.42 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $38.02 Typical High $338.84 | Professional | 26 · Professional part | $16.22 | $38.02 | $338.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $204.17 Typical High $794.33 | Professional | TC · Technical part | $75.86 | $204.17 | $794.33 |
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 $117.49 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $117.49 | $131.83 | $144.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $19.05 | $28.84 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $416.87 Typical High $1,202.26 | Facility | None | $138.04 | $416.87 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $436.52 | Professional | None (both parts) | $134.90 | $147.91 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $69.18 | Professional | 26 · Professional part | $20.89 | $24.55 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $134.90 | $363.08 |
Fallon Health Setting Facility Modifier None Typical Low $22.39 Median $117.49 Typical High $165.96 | Facility | None | $22.39 | $117.49 | $165.96 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $22.39 | $117.49 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $104.71 | $208.93 | $436.52 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $18.20 | $33.88 | $54.95 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $85.11 | $162.18 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $851.14 | Facility | None | $100.00 | $363.08 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $91.20 Median $234.42 Typical High $1,122.02 | Professional | None (both parts) | $91.20 | $234.42 | $1,122.02 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $38.02 Typical High $338.84 | Professional | 26 · Professional part | $16.22 | $38.02 | $338.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $204.17 Typical High $794.33 | Professional | TC · Technical part | $75.86 | $204.17 | $794.33 |
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 $93.33 Median $158.49 Typical High $416.87 | Professional | None (both parts) | $93.33 | $158.49 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $66.07 | Professional | 26 · Professional part | $17.38 | $23.99 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $346.74 | Professional | TC · Technical part | $74.13 | $131.83 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $181.97 | Facility | None | $89.13 | $123.03 | $181.97 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $30.20 | Facility | 26 · Professional part | $12.88 | $16.98 | $30.20 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $177.83 | Facility | TC · Technical part | $75.86 | $100.00 | $177.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $79.43 | $93.33 | $93.33 |
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 $44.67 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $44.67 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | 53 · Discontinued | $17.78 | $17.78 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | FX · Film X-ray | $70.79 | $70.79 | $97.72 |
Where Massachusetts sits
The same service costs 5.5 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· 22nd of 51
$138
AL $479FL $87.10
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.