How much rates vary
Facilitymedian $447 · 10th to 90th $151 to $1,738Professionalmedian $631 · 10th to 90th $186 to $4,786
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 $302.00 Median $741.31 Typical High $1,621.81 | Facility | None | $302.00 | $741.31 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $977.24 | Professional | None (both parts) | $302.00 | $338.84 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $269.15 | Professional | 26 · Professional part | $89.13 | $109.65 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $676.08 | Professional | TC · Technical part | $208.93 | $208.93 | $676.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $263.03 Median $1,479.11 Typical High $1,819.70 | Facility | None | $263.03 | $1,479.11 | $1,819.70 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $426.58 Typical High $446.68 | Facility | 26 · Professional part | $97.72 | $426.58 | $446.68 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $1,318.26 Typical High $1,380.38 | Facility | TC · Technical part | $162.18 | $1,318.26 | $1,380.38 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,174.90 Typical High $4,786.30 | Professional | None (both parts) | $467.74 | $1,174.90 | $4,786.30 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $295.12 Typical High $1,698.24 | Professional | 26 · Professional part | $114.82 | $295.12 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $891.25 Typical High $3,630.78 | Professional | TC · Technical part | $331.13 | $891.25 | $3,630.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $457.09 | Facility | None | $229.09 | $338.84 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $954.99 | Professional | None (both parts) | $223.87 | $223.87 | $954.99 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $123.03 | $123.03 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $977.24 Typical High $2,398.83 | Facility | None | $302.00 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $602.56 Typical High $1,348.96 | Professional | None (both parts) | $549.54 | $602.56 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $331.13 | Professional | 26 · Professional part | $120.23 | $147.91 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $457.09 Typical High $1,023.29 | Professional | TC · Technical part | $407.38 | $457.09 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $138.04 Median $426.58 Typical High $660.69 | Facility | None | $138.04 | $426.58 | $660.69 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $144.54 | $457.09 | $691.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $501.19 Median $812.83 Typical High $1,288.25 | Professional | None (both parts) | $501.19 | $812.83 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $208.93 Typical High $363.08 | Professional | 26 · Professional part | $128.82 | $208.93 | $363.08 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $645.65 Typical High $1,000.00 | Professional | TC · Technical part | $363.08 | $645.65 | $1,000.00 |
Health New England Setting Facility Modifier None Typical Low $724.44 Median $1,380.38 Typical High $2,454.71 | Facility | None | $724.44 | $1,380.38 | $2,454.71 |
Health New England Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $158.49 | $181.97 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $263.03 Median $1,479.11 Typical High $1,819.70 | Facility | None | $263.03 | $1,479.11 | $1,819.70 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $426.58 Typical High $446.68 | Facility | 26 · Professional part | $97.72 | $426.58 | $446.68 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $1,318.26 Typical High $1,380.38 | Facility | TC · Technical part | $162.18 | $1,318.26 | $1,380.38 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,174.90 Typical High $4,786.30 | Professional | None (both parts) | $467.74 | $1,174.90 | $4,786.30 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $295.12 Typical High $1,698.24 | Professional | 26 · Professional part | $114.82 | $295.12 | $1,698.24 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $891.25 Typical High $3,630.78 | Professional | TC · Technical part | $331.13 | $891.25 | $3,630.78 |
United Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $645.65 Typical High $1,288.25 | Professional | None (both parts) | $446.68 | $645.65 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $323.59 | Professional | 26 · Professional part | $107.15 | $154.88 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $489.78 Typical High $977.24 | Professional | TC · Technical part | $338.84 | $489.78 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $467.74 | Facility | None | $223.87 | $331.13 | $467.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $169.82 | Facility | 26 · Professional part | $83.18 | $102.33 | $169.82 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $331.13 | Facility | TC · Technical part | $141.25 | $177.83 | $331.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $467.74 | $467.74 | $562.34 |
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 $147.91 Median $147.91 Typical High $251.19 | Professional | 52 · Reduced service | $147.91 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | 53 · Discontinued | $60.26 | $60.26 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | FX · Film X-ray | $239.88 | $239.88 | $346.74 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $81.28 Typical High $138.04 | Professional | 52 · Reduced service | $60.26 | $81.28 | $138.04 |
Where Massachusetts sits
The same service costs 6.8 times more in Alaska 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· 14th of 51
$603
AK $1,148UT $170
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.