How much rates vary
Facilitymedian $437 · 10th to 90th $145 to $1,413Professionalmedian $537 · 10th to 90th $182 to $6,457
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 $537.03 Median $645.65 Typical High $2,290.87 | Facility | None | $537.03 | $645.65 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $851.14 | Professional | None (both parts) | $426.58 | $537.03 | $851.14 |
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 $281.84 Median $380.19 Typical High $588.84 | Professional | TC · Technical part | $281.84 | $380.19 | $588.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $288.40 Median $1,230.27 Typical High $1,412.54 | Facility | None | $288.40 | $1,230.27 | $1,412.54 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $416.87 Typical High $436.52 | Facility | 26 · Professional part | $95.50 | $416.87 | $436.52 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $933.25 Typical High $977.24 | Facility | TC · Technical part | $190.55 | $933.25 | $977.24 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,148.15 Typical High $6,456.54 | Professional | None (both parts) | $407.38 | $1,148.15 | $6,456.54 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $295.12 Typical High $933.25 | Professional | 26 · Professional part | $112.20 | $295.12 | $933.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $933.25 Typical High $5,754.40 | Professional | TC · Technical part | $269.15 | $933.25 | $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 $645.65 Median $870.96 Typical High $1,202.26 | Professional | None (both parts) | $645.65 | $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 $389.05 Median $3,090.30 Typical High $4,570.88 | Facility | None | $389.05 | $3,090.30 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $436.52 | $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 $302.00 Median $323.59 Typical High $912.01 | Professional | TC · Technical part | $302.00 | $323.59 | $912.01 |
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 $338.84 Typical High $524.81 | Professional | None (both parts) | $138.04 | $338.84 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $707.95 Typical High $1,288.25 | Professional | None (both parts) | $389.05 | $707.95 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $194.98 Typical High $346.74 | Professional | 26 · Professional part | $123.03 | $194.98 | $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 $954.99 Typical High $2,187.76 | Facility | None | $645.65 | $954.99 | $2,187.76 |
Health New England Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $870.96 | Professional | None (both parts) | $154.88 | $181.97 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $288.40 Median $1,230.27 Typical High $1,412.54 | Facility | None | $288.40 | $1,230.27 | $1,412.54 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $416.87 Typical High $436.52 | Facility | 26 · Professional part | $95.50 | $416.87 | $436.52 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $933.25 Typical High $977.24 | Facility | TC · Technical part | $190.55 | $933.25 | $977.24 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,148.15 Typical High $6,456.54 | Professional | None (both parts) | $407.38 | $1,148.15 | $6,456.54 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $295.12 Typical High $933.25 | Professional | 26 · Professional part | $112.20 | $295.12 | $933.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $933.25 Typical High $5,754.40 | Professional | TC · Technical part | $269.15 | $933.25 | $5,754.40 |
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 $380.19 Median $537.03 Typical High $1,412.54 | Professional | None (both parts) | $380.19 | $537.03 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $346.74 | Professional | 26 · Professional part | $109.65 | $151.36 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $371.54 Typical High $1,096.48 | Professional | TC · Technical part | $269.15 | $371.54 | $1,096.48 |
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 $562.34 Median $562.34 Typical High $676.08 | Professional | None (both parts) | $562.34 | $562.34 | $676.08 |
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 $213.80 Median $269.15 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $269.15 | $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 $323.59 Typical High $776.25 | Professional | 52 · Reduced service | $58.88 | $323.59 | $776.25 |
Where Massachusetts sits
The same service costs 6.3 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· 24th of 51
$537
WY $1,288UT $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.