How much rates vary
Facilitymedian $100 · 10th to 90th $11 to $251Professionalmedian $105 · 10th to 90th $20 to $501
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 $63.10 Median $63.10 Typical High $281.84 | Facility | None | $63.10 | $63.10 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $63.10 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.75 Typical High $7.94 | Professional | 26 · Professional part | $5.75 | $5.75 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | TC · Technical part | $57.54 | $57.54 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $75.86 Median $218.78 Typical High $295.12 | Facility | None | $75.86 | $218.78 | $295.12 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $70.79 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $70.79 | $173.78 | $501.19 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $19.05 Typical High $154.88 | Professional | 26 · Professional part | $7.24 | $19.05 | $154.88 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $162.18 Typical High $416.87 | Professional | TC · Technical part | $57.54 | $162.18 | $416.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $251.19 Typical High $691.83 | Facility | None | $87.10 | $251.19 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $309.03 | Professional | None (both parts) | $91.20 | $100.00 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $30.90 | Professional | 26 · Professional part | $9.33 | $10.96 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $93.33 | $281.84 |
Fallon Health Setting Facility Modifier None Typical Low $10.23 Median $93.33 Typical High $123.03 | Facility | None | $10.23 | $93.33 | $123.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $10.23 | $93.33 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $77.62 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $77.62 | $141.25 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.85 Typical High $24.55 | Professional | 26 · Professional part | $8.91 | $15.85 | $24.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $70.79 | $128.82 | $213.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $75.86 Median $218.78 Typical High $295.12 | Facility | None | $75.86 | $218.78 | $295.12 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $70.79 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $70.79 | $173.78 | $501.19 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $19.05 Typical High $154.88 | Professional | 26 · Professional part | $7.24 | $19.05 | $154.88 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $162.18 Typical High $416.87 | Professional | TC · Technical part | $57.54 | $162.18 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $295.12 | Professional | None (both parts) | $75.86 | $109.65 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.13 Typical High $29.51 | Professional | 26 · Professional part | $8.71 | $14.13 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $269.15 | Professional | TC · Technical part | $60.26 | $100.00 | $269.15 |
Well Sense Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $112.20 | Facility | None | $53.70 | $75.86 | $112.20 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.25 Median $6.92 Typical High $12.30 | Facility | 26 · Professional part | $5.25 | $6.92 | $12.30 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $114.82 | Facility | TC · Technical part | $48.98 | $63.10 | $114.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $58.88 | $70.79 | $70.79 |
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 $31.62 Median $31.62 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $12.88 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | FX · Film X-ray | $51.29 | $51.29 | $66.07 |
Where Massachusetts sits
The same service costs 4.6 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· 21st of 51
$102
AK $275KY $60.26
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.