How much rates vary
Facilitymedian $309 · 10th to 90th $85 to $955Professionalmedian $468 · 10th to 90th $120 to $2,951
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 $501.19 Median $2,137.96 Typical High $2,137.96 | Facility | None | $501.19 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $331.13 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $89.13 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $436.52 | Professional | TC · Technical part | $245.47 | $416.87 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $812.83 Typical High $1,000.00 | Facility | None | $204.17 | $812.83 | $1,000.00 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $239.88 Typical High $257.04 | Facility | 26 · Professional part | $56.23 | $239.88 | $257.04 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $707.95 Typical High $741.31 | Facility | TC · Technical part | $147.91 | $707.95 | $741.31 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $288.40 Median $676.08 Typical High $2,951.21 | Professional | None (both parts) | $288.40 | $676.08 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $173.78 Typical High $645.65 | Professional | 26 · Professional part | $64.57 | $173.78 | $645.65 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $562.34 Typical High $2,511.89 | Professional | TC · Technical part | $234.42 | $562.34 | $2,511.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $1,023.29 | Facility | None | $354.81 | $660.69 | $1,023.29 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $467.74 | $616.60 | $912.01 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $69.18 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $1,995.26 Typical High $2,818.38 | Facility | None | $275.42 | $1,995.26 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $812.83 | Professional | None (both parts) | $309.03 | $331.13 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $85.11 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $245.47 Typical High $645.65 | Professional | TC · Technical part | $229.09 | $245.47 | $645.65 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $234.42 Typical High $371.54 | Facility | None | $79.43 | $234.42 | $371.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $81.28 | $245.47 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $269.15 | $478.63 | $812.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $70.79 | $120.23 | $204.17 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $363.08 Typical High $616.60 | Professional | TC · Technical part | $194.98 | $363.08 | $616.60 |
Health New England Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $1,479.11 | Facility | None | $416.87 | $489.78 | $1,479.11 |
Health New England Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $524.81 | Professional | None (both parts) | $91.20 | $100.00 | $524.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $812.83 Typical High $1,000.00 | Facility | None | $204.17 | $812.83 | $1,000.00 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $239.88 Typical High $257.04 | Facility | 26 · Professional part | $56.23 | $239.88 | $257.04 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $707.95 Typical High $741.31 | Facility | TC · Technical part | $147.91 | $707.95 | $741.31 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $288.40 Median $676.08 Typical High $2,951.21 | Professional | None (both parts) | $288.40 | $676.08 | $2,951.21 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $173.78 Typical High $645.65 | Professional | 26 · Professional part | $64.57 | $173.78 | $645.65 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $562.34 Typical High $2,511.89 | Professional | TC · Technical part | $234.42 | $562.34 | $2,511.89 |
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 $269.15 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $269.15 | $389.05 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $60.26 | $89.13 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $758.58 | Professional | TC · Technical part | $204.17 | $288.40 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $616.60 | Facility | None | $316.23 | $436.52 | $616.60 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $97.72 | Facility | 26 · Professional part | $46.77 | $58.88 | $97.72 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $331.13 Typical High $549.54 | Facility | TC · Technical part | $269.15 | $331.13 | $549.54 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $407.38 | $407.38 | $489.78 |
5 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 $199.53 Median $251.19 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $100.00 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | FX · Film X-ray | $338.84 | $407.38 | $407.38 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $181.97 Median $316.23 Typical High $501.19 | Facility | 52 · Reduced service | $181.97 | $316.23 | $501.19 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $234.42 Typical High $524.81 | Professional | 52 · Reduced service | $34.67 | $234.42 | $524.81 |
Where Massachusetts sits
The same service costs 5.8 times more in Wyoming than in Utah. 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· 27th of 51
$417
WY $912UT $158
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.