How much rates vary
Facilitymedian $69 · 10th to 90th $19 to $479Professionalmedian $141 · 10th to 90th $28 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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $234.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $15.49 | Professional | 26 · Professional part | $11.22 | $11.22 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $229.09 | $275.42 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $70.79 Median $218.78 Typical High $588.84 | Facility | None | $70.79 | $218.78 | $588.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $45.71 Median $338.84 Typical High $1,348.96 | Professional | None (both parts) | $45.71 | $338.84 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $15.14 | $38.90 | $89.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $331.13 Typical High $1,288.25 | Professional | TC · Technical part | $56.23 | $331.13 | $1,288.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $524.81 | Facility | None | $263.03 | $380.19 | $524.81 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | None (both parts) | $41.69 | $41.69 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $457.09 Typical High $1,548.82 | Facility | None | $112.20 | $457.09 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $151.36 | Professional | None (both parts) | $61.66 | $67.61 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $41.69 | Professional | 26 · Professional part | $17.38 | $18.20 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $48.98 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $48.98 | $112.20 |
Fallon Health Setting Facility Modifier None Typical Low $18.62 Median $60.26 Typical High $97.72 | Facility | None | $18.62 | $60.26 | $97.72 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $18.62 | $63.10 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $75.86 Median $162.18 Typical High $524.81 | Professional | None (both parts) | $75.86 | $162.18 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $23.44 | $43.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $125.89 Typical High $371.54 | Professional | TC · Technical part | $58.88 | $125.89 | $371.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $70.79 Median $218.78 Typical High $588.84 | Facility | None | $70.79 | $218.78 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $45.71 Median $338.84 Typical High $1,348.96 | Professional | None (both parts) | $45.71 | $338.84 | $1,348.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $15.14 | $38.90 | $89.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $331.13 Typical High $1,288.25 | Professional | TC · Technical part | $56.23 | $331.13 | $1,288.25 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $52.48 | $338.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $34.67 | Professional | 26 · Professional part | $13.49 | $19.50 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $316.23 Typical High $616.60 | Professional | TC · Technical part | $41.69 | $316.23 | $616.60 |
Well Sense Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $91.20 | Facility | None | $46.77 | $57.54 | $91.20 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $13.80 Typical High $24.55 | Facility | 26 · Professional part | $10.72 | $13.80 | $24.55 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $223.87 Typical High $416.87 | Facility | TC · Technical part | $43.65 | $223.87 | $416.87 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $44.67 | $44.67 | $53.70 |
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 $117.49 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $190.55 | $223.87 | $223.87 |
Where Massachusetts sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 31st of 51
$129
CO $316MI $47.86
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.