How much rates vary
Facilitymedian $372 · 10th to 90th $110 to $1,202Professionalmedian $525 · 10th to 90th $204 to $3,467
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 $588.84 Median $2,137.96 Typical High $2,344.23 | Facility | None | $588.84 | $2,137.96 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $398.11 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $114.82 Typical High $181.97 | Professional | 26 · Professional part | $109.65 | $114.82 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $467.74 Typical High $524.81 | Professional | TC · Technical part | $263.03 | $467.74 | $524.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $1,071.52 Typical High $1,202.26 | Facility | None | $239.88 | $1,071.52 | $1,202.26 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $309.03 Typical High $331.13 | Facility | 26 · Professional part | $70.79 | $309.03 | $331.13 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $812.83 Typical High $870.96 | Facility | TC · Technical part | $169.82 | $812.83 | $870.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $346.74 Median $812.83 Typical High $3,467.37 | Professional | None (both parts) | $346.74 | $812.83 | $3,467.37 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $218.78 Typical High $676.08 | Professional | 26 · Professional part | $83.18 | $218.78 | $676.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $676.08 Typical High $3,019.95 | Professional | TC · Technical part | $275.42 | $676.08 | $3,019.95 |
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 $707.95 Median $758.58 Typical High $1,071.52 | Professional | None (both parts) | $707.95 | $758.58 | $1,071.52 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $3,019.95 Typical High $3,801.89 | Facility | None | $338.84 | $3,019.95 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $389.05 Typical High $933.25 | Professional | None (both parts) | $363.08 | $389.05 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $257.04 | Professional | 26 · Professional part | $89.13 | $109.65 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $707.95 | Professional | TC · Technical part | $263.03 | $281.84 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $446.68 | Facility | None | $102.33 | $269.15 | $446.68 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $104.71 | $288.40 | $446.68 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $323.59 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $323.59 | $575.44 | $977.24 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $91.20 | $154.88 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $416.87 | $707.95 |
Health New England Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $1,071.52 Typical High $1,202.26 | Facility | None | $239.88 | $1,071.52 | $1,202.26 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $309.03 Typical High $331.13 | Facility | 26 · Professional part | $70.79 | $309.03 | $331.13 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $812.83 Typical High $870.96 | Facility | TC · Technical part | $169.82 | $812.83 | $870.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $346.74 Median $812.83 Typical High $3,467.37 | Professional | None (both parts) | $346.74 | $812.83 | $3,467.37 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $218.78 Typical High $676.08 | Professional | 26 · Professional part | $83.18 | $218.78 | $676.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $676.08 Typical High $3,019.95 | Professional | TC · Technical part | $275.42 | $676.08 | $3,019.95 |
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 $316.23 Median $457.09 Typical High $1,096.48 | Professional | None (both parts) | $316.23 | $457.09 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $263.03 | Professional | 26 · Professional part | $77.62 | $114.82 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $870.96 | Professional | TC · Technical part | $234.42 | $331.13 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $870.96 | Facility | None | $436.52 | $602.56 | $870.96 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $125.89 | Facility | 26 · Professional part | $61.66 | $75.86 | $125.89 |
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 $457.09 Median $457.09 Typical High $549.54 | Professional | None (both parts) | $457.09 | $457.09 | $549.54 |
4 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 $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $117.49 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $117.49 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $467.74 Typical High $467.74 | Professional | FX · Film X-ray | $338.84 | $467.74 | $467.74 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $58.88 Typical High $100.00 | Professional | 52 · Reduced service | $44.67 | $58.88 | $100.00 |
Where Massachusetts sits
The same service costs 5.6 times more in Wyoming than in Texas. 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· 22nd of 51
$479
WY $1,072TX $191
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.