How much rates vary
Facilitymedian $93 · 10th to 90th $56 to $245Professionalmedian $126 · 10th to 90th $68 to $1,349
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 $74.13 Median $323.59 Typical High $457.09 | Facility | None | $74.13 | $323.59 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $229.09 | Professional | None (both parts) | $74.13 | $74.13 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $117.49 | Professional | 26 · Professional part | $37.15 | $37.15 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $114.82 | Professional | TC · Technical part | $36.31 | $36.31 | $114.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $295.12 Typical High $346.74 | Facility | None | $51.29 | $295.12 | $346.74 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $91.20 Median $245.47 Typical High $1,348.96 | Professional | None (both parts) | $91.20 | $245.47 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $125.89 Typical High $524.81 | Professional | 26 · Professional part | $47.86 | $125.89 | $524.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $125.89 Typical High $831.76 | Professional | TC · Technical part | $46.77 | $125.89 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $154.88 | Facility | None | $77.62 | $112.20 | $154.88 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $54.95 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $54.95 | $107.15 | $107.15 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $52.48 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $602.56 | Facility | None | $181.97 | $213.80 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $275.42 | Professional | None (both parts) | $112.20 | $114.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $58.88 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $56.23 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $53.70 Median $69.18 Typical High $147.91 | Facility | None | $53.70 | $69.18 | $147.91 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $147.91 | Professional | None (both parts) | $56.23 | $74.13 | $147.91 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $95.50 | $177.83 | $269.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $100.00 | $144.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $47.86 | $87.10 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $295.12 Typical High $346.74 | Facility | None | $51.29 | $295.12 | $346.74 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $91.20 Median $245.47 Typical High $1,348.96 | Professional | None (both parts) | $91.20 | $245.47 | $1,348.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $125.89 Typical High $524.81 | Professional | 26 · Professional part | $47.86 | $125.89 | $524.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $125.89 Typical High $831.76 | Professional | TC · Technical part | $46.77 | $125.89 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $87.10 | $120.23 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $138.04 | Professional | 26 · Professional part | $44.67 | $63.10 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $131.83 | Professional | TC · Technical part | $42.66 | $58.88 | $131.83 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $141.25 | Facility | None | $67.61 | $95.50 | $141.25 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $81.28 | Facility | 26 · Professional part | $34.67 | $45.71 | $81.28 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $77.62 | Facility | TC · Technical part | $33.11 | $43.65 | $77.62 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $74.13 | $74.13 | $89.13 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $36.31 | $38.02 | $45.71 |
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 $36.31 Median $36.31 Typical High $67.61 | Professional | 52 · Reduced service | $36.31 | $36.31 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $26.92 | Professional | 53 · Discontinued | $14.79 | $14.79 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $263.03 | Professional | FX · Film X-ray | $58.88 | $58.88 | $263.03 |
Where Massachusetts sits
The same service costs 4.2 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· 12th of 51
$126
AK $275TX $66.07
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.