How much rates vary
Facilitymedian $102 · 10th to 90th $43 to $295Professionalmedian $112 · 10th to 90th $51 to $525
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 $66.07 Median $165.96 Typical High $446.68 | Facility | None | $66.07 | $165.96 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $77.62 Typical High $218.78 | Professional | None (both parts) | $66.07 | $77.62 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $75.86 | Professional | 26 · Professional part | $24.55 | $27.54 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $141.25 | Professional | TC · Technical part | $41.69 | $51.29 | $141.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $263.03 Typical High $323.59 | Facility | None | $93.33 | $263.03 | $323.59 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $85.11 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $85.11 | $229.09 | $524.81 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $81.28 Typical High $199.53 | Professional | 26 · Professional part | $33.11 | $81.28 | $199.53 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $151.36 Typical High $331.13 | Professional | TC · Technical part | $57.54 | $151.36 | $331.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $100.00 | $102.33 | $186.21 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $34.67 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $245.47 Typical High $446.68 | Facility | None | $89.13 | $245.47 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $257.04 | Professional | None (both parts) | $104.71 | $109.65 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $38.90 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $165.96 | Professional | TC · Technical part | $67.61 | $70.79 | $165.96 |
Fallon Health Setting Facility Modifier None Typical Low $40.74 Median $74.13 Typical High $134.90 | Facility | None | $40.74 | $74.13 | $134.90 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $40.74 | $81.28 | $134.90 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $87.10 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $87.10 | $169.82 | $257.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $63.10 | $93.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $107.15 | $158.49 |
Health New England Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $616.60 | Facility | None | $114.82 | $158.49 | $616.60 |
Health New England Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $151.36 | Professional | None (both parts) | $43.65 | $51.29 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $263.03 Typical High $323.59 | Facility | None | $93.33 | $263.03 | $323.59 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $85.11 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $85.11 | $229.09 | $524.81 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $81.28 Typical High $199.53 | Professional | 26 · Professional part | $33.11 | $81.28 | $199.53 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $151.36 Typical High $331.13 | Professional | TC · Technical part | $57.54 | $151.36 | $331.13 |
Tufts Setting Facility Modifier None Typical Low $36.31 Median $128.82 Typical High $338.84 | Facility | None | $36.31 | $128.82 | $338.84 |
Tufts Setting Professional Modifier None (both parts) Typical Low $36.31 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $36.31 | $54.95 | $95.50 |
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 $83.18 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $83.18 | $112.20 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $40.74 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $52.48 | $70.79 | $158.49 |
Well Sense Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $131.83 | Facility | None | $63.10 | $89.13 | $131.83 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $53.70 | Facility | 26 · Professional part | $22.91 | $30.20 | $53.70 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $95.50 | Facility | TC · Technical part | $40.74 | $52.48 | $95.50 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $70.79 | $70.79 | $85.11 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $25.70 | $30.20 |
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 $33.11 Median $33.11 Typical High $61.66 | Professional | 52 · Reduced service | $33.11 | $33.11 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $24.55 | Professional | 53 · Discontinued | $13.18 | $13.18 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $239.88 | Professional | FX · Film X-ray | $53.70 | $53.70 | $239.88 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $51.29 Typical High $95.50 | Professional | 52 · Reduced service | $16.98 | $51.29 | $95.50 |
Where Massachusetts sits
The same service costs 3.6 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· 17th of 51
$112
AK $245TX $67.61
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.