How much rates vary
Facilitymedian $324 · 10th to 90th $42 to $813Professionalmedian $324 · 10th to 90th $100 to $1,549
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 $158.49 Median $158.49 Typical High $660.69 | Facility | None | $158.49 | $158.49 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $158.49 | $158.49 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $24.55 | $24.55 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $131.83 | $257.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $776.25 Typical High $933.25 | Facility | None | $275.42 | $776.25 | $933.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $186.21 Median $549.54 Typical High $1,548.82 | Professional | None (both parts) | $186.21 | $549.54 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $69.18 Typical High $269.15 | Professional | 26 · Professional part | $28.18 | $69.18 | $269.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $501.19 Typical High $1,348.96 | Professional | TC · Technical part | $165.96 | $501.19 | $1,348.96 |
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 $257.04 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $257.04 | $257.04 | $331.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $51.29 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $1,819.70 | Facility | None | $346.74 | $630.96 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $1,047.13 | Professional | None (both parts) | $309.03 | $323.59 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $43.65 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $933.25 | Professional | TC · Technical part | $275.42 | $295.12 | $933.25 |
Fallon Health Setting Facility Modifier None Typical Low $40.74 Median $288.40 Typical High $389.05 | Facility | None | $40.74 | $288.40 | $389.05 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $40.74 | $288.40 | $389.05 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $239.88 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $239.88 | $478.63 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $60.26 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $204.17 | $398.11 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $776.25 Typical High $933.25 | Facility | None | $275.42 | $776.25 | $933.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $186.21 Median $549.54 Typical High $1,548.82 | Professional | None (both parts) | $186.21 | $549.54 | $1,548.82 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $69.18 Typical High $269.15 | Professional | 26 · Professional part | $28.18 | $69.18 | $269.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $501.19 Typical High $1,348.96 | Professional | TC · Technical part | $165.96 | $501.19 | $1,348.96 |
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 $177.83 Median $363.08 Typical High $1,000.00 | Professional | None (both parts) | $177.83 | $363.08 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $117.49 | Professional | 26 · Professional part | $30.20 | $42.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $331.13 Typical High $891.25 | Professional | TC · Technical part | $141.25 | $331.13 | $891.25 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $380.19 | Facility | None | $186.21 | $257.04 | $380.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $52.48 | Facility | 26 · Professional part | $22.39 | $28.84 | $52.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $380.19 | Facility | TC · Technical part | $165.96 | $213.80 | $380.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $144.54 | $173.78 | $173.78 |
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 $79.43 Median $79.43 Typical High $112.20 | Professional | 52 · Reduced service | $79.43 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 53 · Discontinued | $31.62 | $31.62 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $177.83 | Professional | FX · Film X-ray | $125.89 | $125.89 | $177.83 |
Where Massachusetts sits
The same service costs 5.2 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· 20th of 51
$324
AK $933KY $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.