How much rates vary
Facilitymedian $447 · 10th to 90th $145 to $1,413Professionalmedian $537 · 10th to 90th $214 to $6,310
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 $331.13 Median $537.03 Typical High $2,238.72 | Facility | None | $331.13 | $537.03 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $891.25 | Professional | None (both parts) | $426.58 | $537.03 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $128.82 | $151.36 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $380.19 Typical High $588.84 | Professional | TC · Technical part | $288.40 | $380.19 | $588.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $288.40 Median $1,202.26 Typical High $1,412.54 | Facility | None | $288.40 | $1,202.26 | $1,412.54 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $407.38 Typical High $436.52 | Facility | 26 · Professional part | $95.50 | $407.38 | $436.52 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $912.01 Typical High $977.24 | Facility | TC · Technical part | $190.55 | $912.01 | $977.24 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,148.15 Typical High $6,309.57 | Professional | None (both parts) | $380.19 | $1,148.15 | $6,309.57 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $295.12 Typical High $912.01 | Professional | 26 · Professional part | $112.20 | $295.12 | $912.01 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $977.24 Typical High $5,754.40 | Professional | TC · Technical part | $302.00 | $977.24 | $5,754.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,698.24 | Facility | None | $602.56 | $1,096.48 | $1,698.24 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $630.96 Median $870.96 Typical High $1,202.26 | Professional | None (both parts) | $630.96 | $870.96 | $1,202.26 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $117.49 | $117.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $3,090.30 Typical High $4,570.88 | Facility | None | $380.19 | $3,090.30 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $426.58 | $467.74 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $338.84 | Professional | 26 · Professional part | $117.49 | $144.54 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $977.24 | Professional | TC · Technical part | $295.12 | $323.59 | $977.24 |
Fallon Health Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $524.81 | Facility | None | $134.90 | $309.03 | $524.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $138.04 | $331.13 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $707.95 Typical High $1,288.25 | Professional | None (both parts) | $380.19 | $707.95 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $204.17 Typical High $346.74 | Professional | 26 · Professional part | $120.23 | $204.17 | $346.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $467.74 Typical High $912.01 | Professional | TC · Technical part | $257.04 | $467.74 | $912.01 |
Health New England Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $3,388.44 | Facility | None | $645.65 | $912.01 | $3,388.44 |
Health New England Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $891.25 | Professional | None (both parts) | $162.18 | $223.87 | $891.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $288.40 Median $1,202.26 Typical High $1,412.54 | Facility | None | $288.40 | $1,202.26 | $1,412.54 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $407.38 Typical High $436.52 | Facility | 26 · Professional part | $95.50 | $407.38 | $436.52 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $912.01 Typical High $977.24 | Facility | TC · Technical part | $190.55 | $912.01 | $977.24 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,148.15 Typical High $6,309.57 | Professional | None (both parts) | $380.19 | $1,148.15 | $6,309.57 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $295.12 Typical High $912.01 | Professional | 26 · Professional part | $112.20 | $295.12 | $912.01 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $977.24 Typical High $5,754.40 | Professional | TC · Technical part | $302.00 | $977.24 | $5,754.40 |
Tufts Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $912.01 | Facility | None | $426.58 | $537.03 | $912.01 |
Tufts Setting Professional Modifier None (both parts) Typical Low $457.09 Median $575.44 Typical High $724.44 | Professional | None (both parts) | $457.09 | $575.44 | $724.44 |
United Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $1,380.38 | Facility | None | $489.78 | $933.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $1,479.11 | Professional | None (both parts) | $371.54 | $524.81 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $346.74 | Professional | 26 · Professional part | $104.71 | $151.36 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $1,202.26 | Professional | TC · Technical part | $263.03 | $371.54 | $1,202.26 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $912.01 | Facility | None | $457.09 | $630.96 | $912.01 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $165.96 | Facility | 26 · Professional part | $81.28 | $100.00 | $165.96 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $467.74 Typical High $776.25 | Facility | TC · Technical part | $380.19 | $467.74 | $776.25 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $602.56 | $602.56 | $724.44 |
6 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 $213.80 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $107.15 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | FX · Film X-ray | $338.84 | $426.58 | $426.58 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $309.03 Median $537.03 Typical High $851.14 | Facility | 52 · Reduced service | $309.03 | $537.03 | $851.14 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $316.23 Typical High $831.76 | Professional | 52 · Reduced service | $58.88 | $316.23 | $831.76 |
BCBS Massachusetts Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $26.30 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $26.30 |
Where Massachusetts sits
The same service costs 6.6 times more in Vermont 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· 25th of 51
$537
VT $1,349UT $204
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.