How much rates vary
Facilitymedian $309 · 10th to 90th $85 to $955Professionalmedian $457 · 10th to 90th $123 to $2,951
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 $407.38 Median $501.19 Typical High $2,137.96 | Facility | None | $407.38 | $501.19 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $371.54 | $501.19 | $741.31 |
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 $257.04 Median $416.87 Typical High $575.44 | Professional | TC · Technical part | $257.04 | $416.87 | $575.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $199.53 Median $831.76 Typical High $1,000.00 | Facility | None | $199.53 | $831.76 | $1,000.00 |
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 $144.54 Median $691.83 Typical High $741.31 | Facility | TC · Technical part | $144.54 | $691.83 | $741.31 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $269.15 Median $645.65 Typical High $2,951.21 | Professional | None (both parts) | $269.15 | $645.65 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $162.18 Typical High $549.54 | Professional | 26 · Professional part | $64.57 | $162.18 | $549.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $537.03 Typical High $2,570.40 | Professional | TC · Technical part | $204.17 | $537.03 | $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 $457.09 Median $549.54 Typical High $645.65 | Professional | None (both parts) | $457.09 | $549.54 | $645.65 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $69.18 | $117.49 |
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 $302.00 Median $323.59 Typical High $794.33 | Professional | None (both parts) | $302.00 | $323.59 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $85.11 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $630.96 | Professional | TC · Technical part | $223.87 | $239.88 | $630.96 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $229.09 Typical High $371.54 | Facility | None | $79.43 | $229.09 | $371.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $81.28 | $245.47 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $269.15 | $478.63 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $70.79 | $120.23 | $204.17 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $194.98 | $354.81 | $602.56 |
Health New England Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $1,778.28 | Facility | None | $524.81 | $891.25 | $1,778.28 |
Health New England Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $1,230.27 | Professional | None (both parts) | $91.20 | $104.71 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $199.53 Median $831.76 Typical High $1,000.00 | Facility | None | $199.53 | $831.76 | $1,000.00 |
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 $144.54 Median $691.83 Typical High $741.31 | Facility | TC · Technical part | $144.54 | $691.83 | $741.31 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $269.15 Median $645.65 Typical High $2,951.21 | Professional | None (both parts) | $269.15 | $645.65 | $2,951.21 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $162.18 Typical High $549.54 | Professional | 26 · Professional part | $64.57 | $162.18 | $549.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $537.03 Typical High $2,570.40 | Professional | TC · Technical part | $204.17 | $537.03 | $2,570.40 |
Tufts Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $257.04 | $263.03 | $346.74 |
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 $263.03 Median $380.19 Typical High $912.01 | Professional | None (both parts) | $263.03 | $380.19 | $912.01 |
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 $199.53 Median $281.84 Typical High $758.58 | Professional | TC · Technical part | $199.53 | $281.84 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $616.60 | Facility | None | $309.03 | $426.58 | $616.60 |
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 $263.03 Median $323.59 Typical High $537.03 | Facility | TC · Technical part | $263.03 | $323.59 | $537.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $407.38 | $407.38 | $489.78 |
6 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 $199.53 Median $251.19 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $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 $912.01 Typical High $977.24 | Professional | 50 · Both sides | $831.76 | $912.01 | $977.24 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $45.71 Typical High $77.62 | Professional | 52 · Reduced service | $34.67 | $45.71 | $77.62 |
Where Massachusetts sits
The same service costs 5.5 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· 27th of 51
$407
WY $891UT $162
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.