How much rates vary
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 $537.03 Median $776.25 Typical High $2,187.76 | Facility | None | $537.03 | $776.25 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $851.14 | Professional | None (both parts) | $426.58 | $537.03 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $107.15 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $426.58 Typical High $660.69 | Professional | TC · Technical part | $302.00 | $426.58 | $660.69 |
AllWays Health Partners Setting Facility Modifier None Typical Low $281.84 Median $1,318.26 Typical High $1,513.56 | Facility | None | $281.84 | $1,318.26 | $1,513.56 |
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 $213.80 Median $1,023.29 Typical High $1,096.48 | Facility | TC · Technical part | $213.80 | $1,023.29 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $398.11 Median $912.01 Typical High $3,467.37 | Professional | None (both parts) | $398.11 | $912.01 | $3,467.37 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $208.93 Typical High $616.60 | Professional | 26 · Professional part | $77.62 | $208.93 | $616.60 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $758.58 Typical High $3,019.95 | Professional | TC · Technical part | $346.74 | $758.58 | $3,019.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,949.84 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $676.08 | $676.08 | $954.99 |
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 $389.05 Median $2,754.23 Typical High $7,413.10 | Facility | None | $389.05 | $2,754.23 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $457.09 Typical High $1,071.52 | Professional | None (both parts) | $426.58 | $457.09 | $1,071.52 |
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 $331.13 Median $354.81 Typical High $851.14 | Professional | TC · Technical part | $331.13 | $354.81 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $95.50 Median $338.84 Typical High $524.81 | Facility | None | $95.50 | $338.84 | $524.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $100.00 | $363.08 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $380.19 | $660.69 | $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 $288.40 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $288.40 | $501.19 | $831.76 |
Health New England Setting Facility Modifier None Typical Low $691.83 Median $954.99 Typical High $1,995.26 | Facility | None | $691.83 | $954.99 | $1,995.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $630.96 | Professional | None (both parts) | $123.03 | $125.89 | $630.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $281.84 Median $1,318.26 Typical High $1,513.56 | Facility | None | $281.84 | $1,318.26 | $1,513.56 |
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 $213.80 Median $1,023.29 Typical High $1,096.48 | Facility | TC · Technical part | $213.80 | $1,023.29 | $1,096.48 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $398.11 Median $912.01 Typical High $3,467.37 | Professional | None (both parts) | $398.11 | $912.01 | $3,467.37 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $208.93 Typical High $616.60 | Professional | 26 · Professional part | $77.62 | $208.93 | $616.60 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $758.58 Typical High $3,019.95 | Professional | TC · Technical part | $346.74 | $758.58 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $3,090.30 | Facility | None | $1,096.48 | $2,089.30 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $1,174.90 | Professional | None (both parts) | $380.19 | $524.81 | $1,174.90 |
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 $295.12 Median $416.87 Typical High $977.24 | Professional | TC · Technical part | $295.12 | $416.87 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,148.15 | Facility | None | $501.19 | $812.83 | $1,148.15 |
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 $524.81 Median $660.69 Typical High $1,096.48 | Facility | TC · Technical part | $524.81 | $660.69 | $1,096.48 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | None (both parts) | $436.52 | $436.52 | $524.81 |
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 $269.15 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $107.15 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | FX · Film X-ray | $338.84 | $426.58 | $426.58 |
BCBS Massachusetts Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,348.96 Typical High $1,445.44 | Professional | 50 · Both sides | $1,000.00 | $1,348.96 | $1,445.44 |
Where Massachusetts sits
The same service costs 5.4 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· 20th of 51
$537
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.