How much rates vary
Facilitymedian $138 · 10th to 90th $54 to $380Professionalmedian $166 · 10th to 90th $89 to $759
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 $97.72 Median $125.89 Typical High $234.42 | Facility | None | $97.72 | $125.89 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $302.00 | Professional | None (both parts) | $97.72 | $114.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $33.88 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $213.80 | Professional | TC · Technical part | $67.61 | $79.43 | $213.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $323.59 Typical High $426.58 | Facility | None | $131.83 | $323.59 | $426.58 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $120.23 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $120.23 | $323.59 | $758.58 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $100.00 Typical High $316.23 | Professional | 26 · Professional part | $39.81 | $100.00 | $316.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $85.11 | $223.87 | $512.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $97.72 Median $162.18 Typical High $295.12 | Facility | None | $97.72 | $162.18 | $295.12 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $144.54 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $144.54 | $147.91 | $239.88 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $41.69 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $371.54 Typical High $602.56 | Facility | None | $134.90 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $380.19 | Professional | None (both parts) | $147.91 | $158.49 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $47.86 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $109.65 | $263.03 |
Fallon Health Setting Facility Modifier None Typical Low $48.98 Median $109.65 Typical High $190.55 | Facility | None | $48.98 | $109.65 | $190.55 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $48.98 | $120.23 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $125.89 | $234.42 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $79.43 | $114.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $162.18 | $239.88 |
Health New England Setting Facility Modifier None Typical Low $186.21 Median $338.84 Typical High $1,071.52 | Facility | None | $186.21 | $338.84 | $1,071.52 |
Health New England Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $316.23 | Professional | None (both parts) | $54.95 | $93.33 | $316.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $323.59 Typical High $426.58 | Facility | None | $131.83 | $323.59 | $426.58 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $120.23 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $120.23 | $323.59 | $758.58 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $100.00 Typical High $316.23 | Professional | 26 · Professional part | $39.81 | $100.00 | $316.23 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $85.11 | $223.87 | $512.86 |
Tufts Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $426.58 | Facility | None | $100.00 | $173.78 | $426.58 |
Tufts Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $112.20 | $151.36 | $229.09 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $363.08 | Professional | None (both parts) | $114.82 | $162.18 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $51.29 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $257.04 | Professional | TC · Technical part | $75.86 | $112.20 | $257.04 |
Well Sense Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $190.55 | Facility | None | $91.20 | $125.89 | $190.55 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $66.07 | Facility | 26 · Professional part | $28.18 | $37.15 | $66.07 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $147.91 | Facility | TC · Technical part | $63.10 | $83.18 | $147.91 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $107.15 | $107.15 | $128.82 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $30.20 | $31.62 | $37.15 |
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 $48.98 Median $48.98 Typical High $87.10 | Professional | 52 · Reduced service | $48.98 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $34.67 | Professional | 53 · Discontinued | $19.50 | $19.50 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $371.54 | Professional | FX · Film X-ray | $77.62 | $77.62 | $371.54 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $27.54 Typical High $47.86 | Professional | 52 · Reduced service | $20.89 | $27.54 | $47.86 |
Where Massachusetts sits
The same service costs 3.8 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· 16th of 51
$166
AK $355TX $93.33
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.