How much rates vary
Facilitymedian $123 · 10th to 90th $66 to $1,585Professionalmedian $151 · 10th to 90th $78 to $794
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 $91.20 Typical High $407.38 | Facility | None | $91.20 | $91.20 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $91.20 | $91.20 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $75.86 | Professional | 26 · Professional part | $25.70 | $25.70 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $66.07 | $114.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $70.79 Median $380.19 Typical High $1,778.28 | Facility | None | $70.79 | $380.19 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $85.11 Median $302.00 Typical High $794.33 | Professional | None (both parts) | $85.11 | $302.00 | $794.33 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $131.83 Typical High $309.03 | Professional | 26 · Professional part | $38.02 | $131.83 | $309.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $186.21 Typical High $537.03 | Professional | TC · Technical part | $51.29 | $186.21 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,412.54 | Facility | None | $707.95 | $1,023.29 | $1,412.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | None (both parts) | $72.44 | $72.44 | $74.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $53.70 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $1,862.09 Typical High $4,365.16 | Facility | None | $109.65 | $1,862.09 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $100.00 | $141.25 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $144.54 | Professional | 26 · Professional part | $40.74 | $60.26 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $199.53 | Professional | TC · Technical part | $70.79 | $81.28 | $199.53 |
Fallon Health Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $177.83 | Facility | None | $61.66 | $85.11 | $177.83 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $63.10 | $95.50 | $177.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $109.65 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $109.65 | $204.17 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $77.62 Typical High $151.36 | Professional | 26 · Professional part | $39.81 | $77.62 | $151.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $117.49 | $186.21 |
Health New England Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Health New England Setting Professional Modifier None (both parts) Typical Low $64.57 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $64.57 | $398.11 | $398.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $70.79 Median $380.19 Typical High $1,778.28 | Facility | None | $70.79 | $380.19 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $85.11 Median $302.00 Typical High $794.33 | Professional | None (both parts) | $85.11 | $302.00 | $794.33 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $131.83 Typical High $309.03 | Professional | 26 · Professional part | $38.02 | $131.83 | $309.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $186.21 Typical High $537.03 | Professional | TC · Technical part | $51.29 | $186.21 | $537.03 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,168.69 Typical High $6,165.95 | Facility | None | $2,187.76 | $4,168.69 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $81.28 | $144.54 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $32.36 | $45.71 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $47.86 | $102.33 | $186.21 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $173.78 | Facility | None | $85.11 | $117.49 | $173.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $83.18 | Facility | 26 · Professional part | $36.31 | $46.77 | $83.18 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $112.20 | Facility | TC · Technical part | $47.86 | $63.10 | $112.20 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
5 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 $63.10 | Professional | 52 · Reduced service | $45.71 | $45.71 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $18.20 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | FX · Film X-ray | $72.44 | $72.44 | $102.33 |
BCBS Massachusetts Setting Facility Modifier 73 · Stopped before anesthesia Typical Low $213.80 Median $263.03 Typical High $380.19 | Facility | 73 · Stopped before anesthesia | $213.80 | $263.03 | $380.19 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $9.55 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $9.55 | $19.50 |
Where Massachusetts sits
The same service costs 4.2 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· 17th of 51
$148
AK $316UT $75.86
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.