How much rates vary
Facilitymedian $148 · 10th to 90th $44 to $794Professionalmedian $182 · 10th to 90th $91 to $955
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 $91.20 Median $173.78 Typical High $407.38 | Facility | None | $91.20 | $173.78 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $91.20 | $91.20 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $20.89 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $165.96 | Professional | TC · Technical part | $70.79 | $70.79 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $426.58 Typical High $1,148.15 | Facility | None | $134.90 | $426.58 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $120.23 Median $331.13 Typical High $954.99 | Professional | None (both parts) | $120.23 | $331.13 | $954.99 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $87.10 Typical High $245.47 | Professional | 26 · Professional part | $29.51 | $87.10 | $245.47 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $263.03 Typical High $794.33 | Professional | TC · Technical part | $104.71 | $263.03 | $794.33 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $870.96 | Facility | None | $436.52 | $645.65 | $870.96 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $107.15 | $107.15 | $120.23 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $35.48 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $691.83 Typical High $1,819.70 | Facility | None | $309.03 | $691.83 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $407.38 | Professional | None (both parts) | $141.25 | $147.91 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $38.90 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $323.59 | Professional | TC · Technical part | $107.15 | $109.65 | $323.59 |
Fallon Health Setting Facility Modifier None Typical Low $41.69 Median $123.03 Typical High $194.98 | Facility | None | $41.69 | $123.03 | $194.98 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $41.69 | $128.82 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $141.25 | $223.87 | $380.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $53.70 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $169.82 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $426.58 Typical High $1,148.15 | Facility | None | $134.90 | $426.58 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $120.23 Median $331.13 Typical High $954.99 | Professional | None (both parts) | $120.23 | $331.13 | $954.99 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $87.10 Typical High $245.47 | Professional | 26 · Professional part | $29.51 | $87.10 | $245.47 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $263.03 Typical High $794.33 | Professional | TC · Technical part | $104.71 | $263.03 | $794.33 |
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 $125.89 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $125.89 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $38.02 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $147.91 | $275.42 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $208.93 | Facility | None | $100.00 | $141.25 | $208.93 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $52.48 | Facility | 26 · Professional part | $22.39 | $29.51 | $52.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $181.97 | Facility | TC · Technical part | $79.43 | $102.33 | $181.97 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
3 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 $45.71 Median $45.71 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $18.20 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $107.15 | Professional | FX · Film X-ray | $72.44 | $72.44 | $107.15 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska 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· 15th of 51
$174
AK $355TX $100
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.