How much rates vary
Facilitymedian $457 · 10th to 90th $105 to $1,479Professionalmedian $575 · 10th to 90th $339 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 $575.44 Median $2,137.96 Typical High $2,344.23 | Facility | None | $575.44 | $2,137.96 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $575.44 Typical High $602.56 | Professional | None (both parts) | $407.38 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $107.15 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $295.12 | $467.74 | $467.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $1,258.93 Typical High $1,479.11 | Facility | None | $295.12 | $1,258.93 | $1,479.11 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $295.12 Typical High $309.03 | Facility | 26 · Professional part | $67.61 | $295.12 | $309.03 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $1,096.48 Typical High $1,174.90 | Facility | TC · Technical part | $229.09 | $1,096.48 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $407.38 Median $954.99 Typical High $3,467.37 | Professional | None (both parts) | $407.38 | $954.99 | $3,467.37 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $208.93 Typical High $549.54 | Professional | 26 · Professional part | $77.62 | $208.93 | $549.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $794.33 Typical High $3,019.95 | Professional | TC · Technical part | $331.13 | $794.33 | $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 $707.95 Typical High $1,023.29 | Professional | None (both parts) | $707.95 | $707.95 | $1,023.29 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $83.18 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $3,019.95 Typical High $3,801.89 | Facility | None | $416.87 | $3,019.95 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $489.78 Typical High $1,122.02 | Professional | None (both parts) | $446.68 | $489.78 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $239.88 | Professional | 26 · Professional part | $83.18 | $102.33 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $389.05 Typical High $912.01 | Professional | TC · Technical part | $354.81 | $389.05 | $912.01 |
Fallon Health Setting Facility Modifier None Typical Low $95.50 Median $363.08 Typical High $549.54 | Facility | None | $95.50 | $363.08 | $549.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $100.00 | $380.19 | $549.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $398.11 Median $691.83 Typical High $1,148.15 | Professional | None (both parts) | $398.11 | $691.83 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $144.54 | $245.47 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $537.03 Typical High $870.96 | Professional | TC · Technical part | $309.03 | $537.03 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $1,258.93 Typical High $1,479.11 | Facility | None | $295.12 | $1,258.93 | $1,479.11 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $295.12 Typical High $309.03 | Facility | 26 · Professional part | $67.61 | $295.12 | $309.03 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $1,096.48 Typical High $1,174.90 | Facility | TC · Technical part | $229.09 | $1,096.48 | $1,174.90 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $407.38 Median $954.99 Typical High $3,467.37 | Professional | None (both parts) | $407.38 | $954.99 | $3,467.37 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $208.93 Typical High $549.54 | Professional | 26 · Professional part | $77.62 | $208.93 | $549.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $794.33 Typical High $3,019.95 | Professional | TC · Technical part | $331.13 | $794.33 | $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 $398.11 Median $562.34 Typical High $1,258.93 | Professional | None (both parts) | $398.11 | $562.34 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $245.47 | Professional | 26 · Professional part | $72.44 | $107.15 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $323.59 | $446.68 | $1,047.13 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $933.25 | Facility | None | $457.09 | $660.69 | $933.25 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $117.49 | Facility | 26 · Professional part | $57.54 | $70.79 | $117.49 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $851.14 | Facility | TC · Technical part | $416.87 | $512.86 | $851.14 |
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 $213.80 Median $288.40 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $114.82 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $114.82 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $457.09 Typical High $457.09 | Professional | FX · Film X-ray | $338.84 | $457.09 | $457.09 |
BCBS Massachusetts Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,445.44 Typical High $1,548.82 | Professional | 50 · Both sides | $1,071.52 | $1,445.44 | $1,548.82 |
Where Massachusetts sits
The same service costs 5.4 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· 21st of 51
$575
WY $1,318UT $245
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.