How much rates vary
Facilitymedian $275 · 10th to 90th $129 to $1,950Professionalmedian $479 · 10th to 90th $126 to $2,455
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $109.65 | $691.83 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $61.66 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $676.08 Typical High $1,737.80 | Professional | TC · Technical part | $79.43 | $676.08 | $1,737.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $977.24 Typical High $1,778.28 | Facility | None | $162.18 | $977.24 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $102.33 Median $2,187.76 Typical High $2,454.71 | Professional | None (both parts) | $102.33 | $2,187.76 | $2,454.71 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $281.84 Typical High $1,659.59 | Professional | 26 · Professional part | $91.20 | $281.84 | $1,659.59 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $1,513.56 Typical High $2,754.23 | Professional | TC · Technical part | $64.57 | $1,513.56 | $2,754.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,258.93 | $1,819.70 | $2,511.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $57.54 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $57.54 | $204.17 | $204.17 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $117.49 | $117.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $1,258.93 Typical High $5,495.41 | Facility | None | $107.15 | $1,258.93 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $398.11 | Professional | None (both parts) | $144.54 | $173.78 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $257.04 | Professional | 26 · Professional part | $95.50 | $112.20 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $141.25 | Professional | TC · Technical part | $53.70 | $61.66 | $141.25 |
Fallon Health Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $446.68 | Facility | None | $131.83 | $239.88 | $446.68 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $138.04 | $263.03 | $446.68 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $281.84 Median $691.83 Typical High $4,168.69 | Professional | None (both parts) | $281.84 | $691.83 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $169.82 Typical High $302.00 | Professional | 26 · Professional part | $97.72 | $169.82 | $302.00 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $426.58 Typical High $4,073.80 | Professional | TC · Technical part | $177.83 | $426.58 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $977.24 Typical High $1,778.28 | Facility | None | $162.18 | $977.24 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $102.33 Median $2,187.76 Typical High $2,454.71 | Professional | None (both parts) | $102.33 | $2,187.76 | $2,454.71 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $281.84 Typical High $1,659.59 | Professional | 26 · Professional part | $91.20 | $281.84 | $1,659.59 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $1,513.56 Typical High $2,754.23 | Professional | TC · Technical part | $64.57 | $1,513.56 | $2,754.23 |
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 $125.89 Median $2,344.23 Typical High $7,585.78 | Professional | None (both parts) | $125.89 | $2,344.23 | $7,585.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $117.49 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $2,344.23 Typical High $7,413.10 | Professional | TC · Technical part | $50.12 | $2,344.23 | $7,413.10 |
Well Sense Setting Facility Modifier None Typical Low $114.82 Median $134.90 Typical High $204.17 | Facility | None | $114.82 | $134.90 | $204.17 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $147.91 | Facility | 26 · Professional part | $66.07 | $87.10 | $147.91 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $2,818.38 Typical High $5,370.32 | Facility | TC · Technical part | $47.86 | $2,818.38 | $5,370.32 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None (both parts) | $102.33 | $102.33 | $123.03 |
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 $331.13 Median $346.74 Typical High $891.25 | Professional | 52 · Reduced service | $331.13 | $346.74 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $354.81 | Professional | 53 · Discontinued | $131.83 | $138.04 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | FX · Film X-ray | $549.54 | $549.54 | $549.54 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $19.05 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $19.05 | $40.74 |
Where Massachusetts sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 26th of 51
$447
CO $3,467NM $132
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.