How much rates vary
Facilitymedian $407 · 10th to 90th $87 to $1,288Professionalmedian $501 · 10th to 90th $123 to $3,020
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 $309.03 Median $549.54 Typical High $2,137.96 | Facility | None | $309.03 | $549.54 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $416.87 | $501.19 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $89.13 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $416.87 Typical High $645.65 | Professional | TC · Technical part | $302.00 | $416.87 | $645.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $1,122.02 Typical High $1,348.96 | Facility | None | $275.42 | $1,122.02 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $245.47 Typical High $257.04 | Facility | 26 · Professional part | $56.23 | $245.47 | $257.04 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $1,047.13 Typical High $1,096.48 | Facility | TC · Technical part | $218.78 | $1,047.13 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $380.19 Median $870.96 Typical High $3,019.95 | Professional | None (both parts) | $380.19 | $870.96 | $3,019.95 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $173.78 Typical High $467.74 | Professional | 26 · Professional part | $64.57 | $173.78 | $467.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $758.58 Typical High $2,570.40 | Professional | TC · Technical part | $346.74 | $758.58 | $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 $549.54 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $549.54 | $616.60 | $912.01 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $70.79 | $120.23 |
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 $416.87 Median $446.68 Typical High $1,047.13 | Professional | None (both parts) | $416.87 | $446.68 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $85.11 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $363.08 Typical High $851.14 | Professional | TC · Technical part | $331.13 | $363.08 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $346.74 Typical High $501.19 | Facility | None | $79.43 | $346.74 | $501.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $83.18 | $346.74 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $363.08 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $363.08 | $630.96 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $70.79 | $123.03 | $204.17 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $512.86 Typical High $812.83 | Professional | TC · Technical part | $288.40 | $512.86 | $812.83 |
Health New England Setting Facility Modifier None Typical Low $691.83 Median $870.96 Typical High $1,698.24 | Facility | None | $691.83 | $870.96 | $1,698.24 |
Health New England Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $524.81 | Professional | None (both parts) | $91.20 | $107.15 | $524.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $1,122.02 Typical High $1,348.96 | Facility | None | $275.42 | $1,122.02 | $1,348.96 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $245.47 Typical High $257.04 | Facility | 26 · Professional part | $56.23 | $245.47 | $257.04 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $1,047.13 Typical High $1,096.48 | Facility | TC · Technical part | $218.78 | $1,047.13 | $1,096.48 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $380.19 Median $870.96 Typical High $3,019.95 | Professional | None (both parts) | $380.19 | $870.96 | $3,019.95 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $173.78 Typical High $467.74 | Professional | 26 · Professional part | $64.57 | $173.78 | $467.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $758.58 Typical High $2,570.40 | Professional | TC · Technical part | $346.74 | $758.58 | $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 $363.08 Median $501.19 Typical High $1,122.02 | Professional | None (both parts) | $363.08 | $501.19 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $60.26 | $89.13 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $416.87 Typical High $977.24 | Professional | TC · Technical part | $302.00 | $416.87 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $794.33 | Facility | None | $398.11 | $562.34 | $794.33 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $97.72 | Facility | 26 · Professional part | $47.86 | $58.88 | $97.72 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $436.52 Typical High $724.44 | Facility | TC · Technical part | $354.81 | $436.52 | $724.44 |
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 |
7 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 $208.93 Median $251.19 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $100.00 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $100.00 | $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 $181.97 Median $316.23 Typical High $501.19 | Facility | 52 · Reduced service | $181.97 | $316.23 | $501.19 |
BCBS Massachusetts Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $1,230.27 Typical High $1,380.38 | Professional | 50 · Both sides | $831.76 | $1,230.27 | $1,380.38 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $309.03 Typical High $588.84 | Professional | 52 · Reduced service | $34.67 | $309.03 | $588.84 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $354.81 | Professional | 53 · Discontinued | $154.88 | $158.49 | $354.81 |
Where Massachusetts sits
The same service costs 5.1 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· 20th of 51
$501
WY $1,202UT $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.