How much rates vary
Facilitymedian $479 · 10th to 90th $141 to $1,479Professionalmedian $603 · 10th to 90th $170 to $6,166
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 $346.74 Median $724.44 Typical High $2,238.72 | Facility | None | $346.74 | $724.44 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $724.44 Typical High $1,096.48 | Professional | None (both parts) | $426.58 | $724.44 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $251.19 | Professional | 26 · Professional part | $125.89 | $151.36 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $562.34 Typical High $741.31 | Professional | TC · Technical part | $295.12 | $562.34 | $741.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $302.00 Median $1,258.93 Typical High $1,479.11 | Facility | None | $302.00 | $1,258.93 | $1,479.11 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $398.11 Typical High $416.87 | Facility | 26 · Professional part | $91.20 | $398.11 | $416.87 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $1,000.00 Typical High $1,071.52 | Facility | TC · Technical part | $208.93 | $1,000.00 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,230.27 Typical High $6,165.95 | Professional | None (both parts) | $436.52 | $1,230.27 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $269.15 Typical High $891.25 | Professional | 26 · Professional part | $104.71 | $269.15 | $891.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,023.29 Typical High $5,623.41 | Professional | TC · Technical part | $338.84 | $1,023.29 | $5,623.41 |
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 $691.83 Median $954.99 Typical High $1,318.26 | Professional | None (both parts) | $691.83 | $954.99 | $1,318.26 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $112.20 | $112.20 | $194.98 |
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 $457.09 Median $489.78 Typical High $1,288.25 | Professional | None (both parts) | $457.09 | $489.78 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $323.59 | Professional | 26 · Professional part | $112.20 | $138.04 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $1,047.13 | Professional | TC · Technical part | $331.13 | $354.81 | $1,047.13 |
Fallon Health Setting Facility Modifier None Typical Low $128.82 Median $331.13 Typical High $562.34 | Facility | None | $128.82 | $331.13 | $562.34 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $134.90 | $354.81 | $562.34 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $407.38 Median $758.58 Typical High $1,348.96 | Professional | None (both parts) | $407.38 | $758.58 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $186.21 Typical High $331.13 | Professional | 26 · Professional part | $114.82 | $186.21 | $331.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $512.86 Typical High $954.99 | Professional | TC · Technical part | $281.84 | $512.86 | $954.99 |
Health New England Setting Facility Modifier None Typical Low $724.44 Median $1,000.00 Typical High $3,467.37 | Facility | None | $724.44 | $1,000.00 | $3,467.37 |
Health New England Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $851.14 | Professional | None (both parts) | $154.88 | $173.78 | $851.14 |
Mass General Brigham Setting Facility Modifier None Typical Low $302.00 Median $1,258.93 Typical High $1,479.11 | Facility | None | $302.00 | $1,258.93 | $1,479.11 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $398.11 Typical High $416.87 | Facility | 26 · Professional part | $91.20 | $398.11 | $416.87 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $1,000.00 Typical High $1,071.52 | Facility | TC · Technical part | $208.93 | $1,000.00 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,230.27 Typical High $6,165.95 | Professional | None (both parts) | $436.52 | $1,230.27 | $6,165.95 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $269.15 Typical High $891.25 | Professional | 26 · Professional part | $104.71 | $269.15 | $891.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,023.29 Typical High $5,623.41 | Professional | TC · Technical part | $338.84 | $1,023.29 | $5,623.41 |
Tufts Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $870.96 | Facility | None | $416.87 | $537.03 | $870.96 |
Tufts Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $741.31 | Professional | None (both parts) | $426.58 | $602.56 | $741.31 |
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 $398.11 Median $588.84 Typical High $1,548.82 | Professional | None (both parts) | $398.11 | $588.84 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $331.13 | Professional | 26 · Professional part | $102.33 | $144.54 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $1,258.93 | Professional | TC · Technical part | $295.12 | $416.87 | $1,258.93 |
Well Sense Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $933.25 | Facility | None | $478.63 | $660.69 | $933.25 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $158.49 | Facility | 26 · Professional part | $77.62 | $95.50 | $158.49 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $812.83 | Facility | TC · Technical part | $398.11 | $501.19 | $812.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None (both parts) | $616.60 | $616.60 | $741.31 |
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 $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $213.80 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $85.11 | $144.54 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $575.44 Typical High $575.44 | Professional | FX · Film X-ray | $338.84 | $575.44 | $575.44 |
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 $56.23 Median $346.74 Typical High $831.76 | Professional | 52 · Reduced service | $56.23 | $346.74 | $831.76 |
Where Massachusetts sits
The same service costs 5.8 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· 23rd of 51
$589
WY $1,349UT $234
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.