How much rates vary
Facilitymedian $269 · 10th to 90th $95 to $851Professionalmedian $331 · 10th to 90th $129 to $3,236
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 $213.80 Median $346.74 Typical High $2,137.96 | Facility | None | $213.80 | $346.74 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $309.03 | $316.23 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $97.72 | $97.72 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $213.80 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $691.83 Typical High $851.14 | Facility | None | $173.78 | $691.83 | $851.14 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $269.15 Typical High $281.84 | Facility | 26 · Professional part | $61.66 | $269.15 | $281.84 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $537.03 Typical High $562.34 | Facility | TC · Technical part | $112.20 | $537.03 | $562.34 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $229.09 Median $676.08 Typical High $3,235.94 | Professional | None (both parts) | $229.09 | $676.08 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $190.55 Typical High $602.56 | Professional | 26 · Professional part | $70.79 | $190.55 | $602.56 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $154.88 | $489.78 | $2,884.03 |
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 $371.54 Median $549.54 Typical High $691.83 | Professional | None (both parts) | $371.54 | $549.54 | $691.83 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $75.86 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $1,995.26 Typical High $2,818.38 | Facility | None | $218.78 | $1,995.26 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $257.04 | $275.42 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $218.78 | Professional | 26 · Professional part | $75.86 | $93.33 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $169.82 | $186.21 | $562.34 |
Fallon Health Setting Facility Modifier None Typical Low $87.10 Median $186.21 Typical High $316.23 | Facility | None | $87.10 | $186.21 | $316.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $91.20 | $194.98 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $229.09 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $229.09 | $436.52 | $758.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $131.83 Typical High $223.87 | Professional | 26 · Professional part | $77.62 | $131.83 | $223.87 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $147.91 | $269.15 | $501.19 |
Health New England Setting Facility Modifier None Typical Low $331.13 Median $758.58 Typical High $2,511.89 | Facility | None | $331.13 | $758.58 | $2,511.89 |
Health New England Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $602.56 | Professional | None (both parts) | $100.00 | $114.82 | $602.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $691.83 Typical High $851.14 | Facility | None | $173.78 | $691.83 | $851.14 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $269.15 Typical High $281.84 | Facility | 26 · Professional part | $61.66 | $269.15 | $281.84 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $537.03 Typical High $562.34 | Facility | TC · Technical part | $112.20 | $537.03 | $562.34 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $229.09 Median $676.08 Typical High $3,235.94 | Professional | None (both parts) | $229.09 | $676.08 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $190.55 Typical High $602.56 | Professional | 26 · Professional part | $70.79 | $190.55 | $602.56 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $154.88 | $489.78 | $2,884.03 |
Tufts Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $724.44 | Facility | None | $257.04 | $380.19 | $724.44 |
Tufts Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $173.78 | $354.81 | $426.58 |
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 $218.78 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $218.78 | $323.59 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $67.61 | $97.72 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $645.65 | Professional | TC · Technical part | $151.36 | $213.80 | $645.65 |
Well Sense Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $512.86 | Facility | None | $257.04 | $363.08 | $512.86 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $123.03 | Facility | 26 · Professional part | $53.70 | $67.61 | $123.03 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $426.58 | Facility | TC · Technical part | $204.17 | $257.04 | $426.58 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $380.19 | $380.19 | $457.09 |
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 $154.88 Median $154.88 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $154.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $61.66 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | FX · Film X-ray | $251.19 | $251.19 | $338.84 |
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 $38.02 Median $186.21 Typical High $537.03 | Professional | 52 · Reduced service | $38.02 | $186.21 | $537.03 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $93.33 Typical High $269.15 | Professional | 53 · Discontinued | $19.05 | $93.33 | $269.15 |
Where Massachusetts sits
The same service costs 24.0 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· 32nd of 51
$316
VT $2,951UT $123
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.