How much rates vary
Facilitymedian $288 · 10th to 90th $87 to $871Professionalmedian $339 · 10th to 90th $105 to $2,884
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 $213.80 Median $331.13 Typical High $2,137.96 | Facility | None | $213.80 | $331.13 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $331.13 | $331.13 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $89.13 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $218.78 | $239.88 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $181.97 Median $741.31 Typical High $912.01 | Facility | None | $181.97 | $741.31 | $912.01 |
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 $128.82 Median $616.60 Typical High $645.65 | Facility | TC · Technical part | $128.82 | $616.60 | $645.65 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $257.04 Median $630.96 Typical High $2,884.03 | Professional | None (both parts) | $257.04 | $630.96 | $2,884.03 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $173.78 Typical High $537.03 | Professional | 26 · Professional part | $64.57 | $173.78 | $537.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $537.03 Typical High $2,511.89 | Professional | TC · Technical part | $194.98 | $537.03 | $2,511.89 |
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 $407.38 Median $549.54 Typical High $616.60 | Professional | None (both parts) | $407.38 | $549.54 | $616.60 |
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 $251.19 Median $1,995.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,995.26 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $275.42 | $295.12 | $691.83 |
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 $194.98 Median $213.80 Typical High $549.54 | Professional | TC · Technical part | $194.98 | $213.80 | $549.54 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $338.84 | Facility | None | $79.43 | $204.17 | $338.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $83.18 | $213.80 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $245.47 | $457.09 | $741.31 |
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 $169.82 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $169.82 | $309.03 | $562.34 |
Health New England Setting Facility Modifier None Typical Low $407.38 Median $831.76 Typical High $2,511.89 | Facility | None | $407.38 | $831.76 | $2,511.89 |
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 $181.97 Median $741.31 Typical High $912.01 | Facility | None | $181.97 | $741.31 | $912.01 |
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 $128.82 Median $616.60 Typical High $645.65 | Facility | TC · Technical part | $128.82 | $616.60 | $645.65 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $257.04 Median $630.96 Typical High $2,884.03 | Professional | None (both parts) | $257.04 | $630.96 | $2,884.03 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $173.78 Typical High $537.03 | Professional | 26 · Professional part | $64.57 | $173.78 | $537.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $537.03 Typical High $2,511.89 | Professional | TC · Technical part | $194.98 | $537.03 | $2,511.89 |
Tufts Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $630.96 | Facility | None | $275.42 | $398.11 | $630.96 |
Tufts Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $501.19 | Professional | None (both parts) | $275.42 | $380.19 | $501.19 |
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 $234.42 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $234.42 | $338.84 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $89.13 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $239.88 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $537.03 | Facility | None | $275.42 | $398.11 | $537.03 |
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 $223.87 Median $281.84 Typical High $467.74 | Facility | TC · Technical part | $223.87 | $281.84 | $467.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $398.11 | $398.11 | $478.63 |
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 $165.96 Median $165.96 Typical High $302.00 | Professional | 52 · Reduced service | $165.96 | $165.96 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $120.23 | Professional | 53 · Discontinued | $66.07 | $66.07 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $263.03 | $338.84 |
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 $776.25 Median $831.76 Typical High $831.76 | Professional | 50 · Both sides | $776.25 | $831.76 | $831.76 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $380.19 | Professional | 52 · Reduced service | $34.67 | $34.67 | $380.19 |
Where Massachusetts sits
The same service costs 13.5 times more in Vermont 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· 31st of 51
$339
VT $2,089UT $155
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.