How much rates vary
Facilitymedian $200 · 10th to 90th $83 to $5,495Professionalmedian $269 · 10th to 90th $132 to $3,236
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 $144.54 Median $144.54 Typical High $1,122.02 | Facility | None | $144.54 | $144.54 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $144.54 | $144.54 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $46.77 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $97.72 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $199.53 Median $630.96 Typical High $6,165.95 | Facility | None | $199.53 | $630.96 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $181.97 Median $575.44 Typical High $3,235.94 | Professional | None (both parts) | $181.97 | $575.44 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $162.18 Typical High $691.83 | Professional | 26 · Professional part | $64.57 | $162.18 | $691.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $134.90 | $489.78 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $6,025.60 | Facility | None | $3,019.95 | $4,365.16 | $6,025.60 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $134.90 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $5,495.41 Typical High $13,489.63 | Facility | None | $851.14 | $5,495.41 | $13,489.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $575.44 | Professional | None (both parts) | $223.87 | $234.42 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $75.86 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $158.49 | $457.09 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $165.96 Typical High $288.40 | Facility | None | $79.43 | $165.96 | $288.40 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $79.43 | $181.97 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $213.80 | $389.05 | $630.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $104.71 | $181.97 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $245.47 | $407.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $199.53 Median $630.96 Typical High $6,165.95 | Facility | None | $199.53 | $630.96 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $181.97 Median $575.44 Typical High $3,235.94 | Professional | None (both parts) | $181.97 | $575.44 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $162.18 Typical High $691.83 | Professional | 26 · Professional part | $64.57 | $162.18 | $691.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $134.90 | $489.78 | $2,884.03 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $12,302.69 | Facility | None | $4,365.16 | $8,317.64 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $630.96 | Professional | None (both parts) | $186.21 | $257.04 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $85.11 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $501.19 | Professional | TC · Technical part | $120.23 | $162.18 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $269.15 | Facility | None | $131.83 | $181.97 | $269.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $104.71 | Facility | 26 · Professional part | $44.67 | $58.88 | $104.71 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $204.17 | Facility | TC · Technical part | $87.10 | $112.20 | $204.17 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $234.42 | $234.42 | $281.84 |
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 $72.44 Median $72.44 Typical High $138.04 | Professional | 52 · Reduced service | $72.44 | $72.44 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | 53 · Discontinued | $28.84 | $28.84 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $218.78 | Professional | FX · Film X-ray | $114.82 | $114.82 | $218.78 |
Where Massachusetts sits
The same service costs 4.4 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· 24th of 51
$263
AK $513TX $117
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.