How much rates vary
Facilitymedian $316 · 10th to 90th $93 to $955Professionalmedian $447 · 10th to 90th $141 to $3,715
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 $416.87 Median $512.86 Typical High $2,137.96 | Facility | None | $416.87 | $512.86 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $371.54 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $97.72 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $416.87 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $416.87 | $549.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $831.76 Typical High $1,023.29 | Facility | None | $204.17 | $831.76 | $1,023.29 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $263.03 Typical High $275.42 | Facility | 26 · Professional part | $60.26 | $263.03 | $275.42 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $691.83 Typical High $741.31 | Facility | TC · Technical part | $144.54 | $691.83 | $741.31 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $275.42 Median $660.69 Typical High $3,715.35 | Professional | None (both parts) | $275.42 | $660.69 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $186.21 Typical High $588.84 | Professional | 26 · Professional part | $70.79 | $186.21 | $588.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $537.03 Typical High $2,570.40 | Professional | TC · Technical part | $208.93 | $537.03 | $2,570.40 |
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 $74.13 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $74.13 | $125.89 |
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 $75.86 Median $91.20 Typical High $218.78 | Professional | 26 · Professional part | $75.86 | $91.20 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $223.87 | $239.88 | $645.65 |
Fallon Health Setting Facility Modifier None Typical Low $85.11 Median $229.09 Typical High $380.19 | Facility | None | $85.11 | $229.09 | $380.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $89.13 | $245.47 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $275.42 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $275.42 | $489.78 | $812.83 |
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 $194.98 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $194.98 | $354.81 | $602.56 |
Health New England Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,659.59 | Facility | None | $489.78 | $758.58 | $1,659.59 |
Health New England Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $562.34 | Professional | None (both parts) | $100.00 | $128.82 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $831.76 Typical High $1,023.29 | Facility | None | $204.17 | $831.76 | $1,023.29 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $263.03 Typical High $275.42 | Facility | 26 · Professional part | $60.26 | $263.03 | $275.42 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $691.83 Typical High $741.31 | Facility | TC · Technical part | $144.54 | $691.83 | $741.31 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $275.42 Median $660.69 Typical High $3,715.35 | Professional | None (both parts) | $275.42 | $660.69 | $3,715.35 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $186.21 Typical High $588.84 | Professional | 26 · Professional part | $70.79 | $186.21 | $588.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $537.03 Typical High $2,570.40 | Professional | TC · Technical part | $208.93 | $537.03 | $2,570.40 |
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 $275.42 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $275.42 | $398.11 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $66.07 | $97.72 | $223.87 |
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 $51.29 Median $64.57 Typical High $107.15 | Facility | 26 · Professional part | $51.29 | $64.57 | $107.15 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $331.13 Typical High $537.03 | Facility | TC · Technical part | $263.03 | $331.13 | $537.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $416.87 | $416.87 | $501.19 |
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 $199.53 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $102.33 | $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 $177.83 Median $323.59 Typical High $512.86 | Facility | 52 · Reduced service | $177.83 | $323.59 | $512.86 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $426.58 | Professional | 52 · Reduced service | $37.15 | $37.15 | $426.58 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $31.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $31.62 |
Where Massachusetts sits
The same service costs 6.0 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· 26th of 51
$417
WY $912UT $151
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.