How much rates vary
Facilitymedian $145 · 10th to 90th $62 to $550Professionalmedian $204 · 10th to 90th $85 to $1,096
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 $85.11 Median $524.81 Typical High $1,288.25 | Facility | None | $85.11 | $524.81 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $239.88 | Professional | None (both parts) | $85.11 | $85.11 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $36.31 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $169.82 | Professional | TC · Technical part | $47.86 | $47.86 | $169.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $120.23 Median $478.63 Typical High $588.84 | Facility | None | $120.23 | $478.63 | $588.84 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $173.78 Typical High $181.97 | Facility | 26 · Professional part | $40.74 | $173.78 | $181.97 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $380.19 Typical High $398.11 | Facility | TC · Technical part | $79.43 | $380.19 | $398.11 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $158.49 Median $371.54 Typical High $1,096.48 | Professional | None (both parts) | $158.49 | $371.54 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $120.23 Typical High $288.40 | Professional | 26 · Professional part | $46.77 | $120.23 | $288.40 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $263.03 Typical High $812.83 | Professional | TC · Technical part | $117.49 | $263.03 | $812.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Facility | None | $70.79 | $104.71 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $173.78 | $223.87 | $457.09 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $50.12 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $478.63 Typical High $831.76 | Facility | None | $74.13 | $478.63 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $436.52 | Professional | None (both parts) | $165.96 | $190.55 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $60.26 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $302.00 | Professional | TC · Technical part | $120.23 | $131.83 | $302.00 |
Fallon Health Setting Facility Modifier None Typical Low $57.54 Median $125.89 Typical High $213.80 | Facility | None | $57.54 | $125.89 | $213.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $58.88 | $138.04 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $158.49 | $245.47 | $416.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $83.18 | $144.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $107.15 | $181.97 | $288.40 |
Health New England Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $72.44 | $112.20 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $120.23 Median $478.63 Typical High $588.84 | Facility | None | $120.23 | $478.63 | $588.84 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $173.78 Typical High $181.97 | Facility | 26 · Professional part | $40.74 | $173.78 | $181.97 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $380.19 Typical High $398.11 | Facility | TC · Technical part | $79.43 | $380.19 | $398.11 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $158.49 Median $371.54 Typical High $1,096.48 | Professional | None (both parts) | $158.49 | $371.54 | $1,096.48 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $120.23 Typical High $288.40 | Professional | 26 · Professional part | $46.77 | $120.23 | $288.40 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $263.03 Typical High $812.83 | Professional | TC · Technical part | $117.49 | $263.03 | $812.83 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $147.91 | $204.17 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $138.04 | $288.40 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $323.59 | Facility | None | $162.18 | $229.09 | $323.59 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $69.18 | Facility | 26 · Professional part | $33.88 | $41.69 | $69.18 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $269.15 | Facility | TC · Technical part | $131.83 | $162.18 | $269.15 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $162.18 | $162.18 | $194.98 |
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 $42.66 Median $42.66 Typical High $89.13 | Professional | 52 · Reduced service | $42.66 | $42.66 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $35.48 | Professional | 53 · Discontinued | $16.98 | $16.98 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | FX · Film X-ray | $67.61 | $67.61 | $128.82 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $7.94 Typical High $18.20 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $7.94 | $18.20 |
Where Massachusetts sits
The same service costs 4.3 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· 23rd of 51
$195
AK $447UT $105
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.