How much rates vary
Facilitymedian $490 · 10th to 90th $263 to $1,479Professionalmedian $575 · 10th to 90th $302 to $3,162
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 $302.00 Median $302.00 Typical High $1,148.15 | Facility | None | $302.00 | $302.00 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $302.00 | $302.00 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | 26 · Professional part | $144.54 | $144.54 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $154.88 | $257.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $1,230.27 Typical High $1,659.59 | Facility | None | $331.13 | $1,230.27 | $1,659.59 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,380.38 Typical High $3,162.28 | Professional | None (both parts) | $338.84 | $1,380.38 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $676.08 Typical High $1,584.89 | Professional | 26 · Professional part | $204.17 | $676.08 | $1,584.89 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $812.83 Typical High $1,348.96 | Professional | TC · Technical part | $173.78 | $812.83 | $1,348.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $1,862.09 | Facility | None | $588.84 | $831.76 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $2,511.89 | Facility | None | $346.74 | $724.44 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $575.44 Typical High $1,380.38 | Professional | None (both parts) | $512.86 | $575.44 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $275.42 Typical High $645.65 | Professional | 26 · Professional part | $239.88 | $275.42 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $758.58 | Professional | TC · Technical part | $275.42 | $302.00 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $707.95 | Facility | None | $257.04 | $338.84 | $707.95 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $263.03 | $354.81 | $707.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $436.52 Median $891.25 Typical High $1,412.54 | Professional | None (both parts) | $436.52 | $891.25 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $398.11 Typical High $645.65 | Professional | 26 · Professional part | $208.93 | $398.11 | $645.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $446.68 Typical High $724.44 | Professional | TC · Technical part | $229.09 | $446.68 | $724.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $1,230.27 Typical High $1,659.59 | Facility | None | $331.13 | $1,230.27 | $1,659.59 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,380.38 Typical High $3,162.28 | Professional | None (both parts) | $338.84 | $1,380.38 | $3,162.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $676.08 Typical High $1,584.89 | Professional | 26 · Professional part | $204.17 | $676.08 | $1,584.89 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $812.83 Typical High $1,348.96 | Professional | TC · Technical part | $173.78 | $812.83 | $1,348.96 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,445.44 Typical High $2,187.76 | Facility | None | $776.25 | $1,445.44 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $1,479.11 | Professional | None (both parts) | $331.13 | $562.34 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $269.15 Typical High $660.69 | Professional | 26 · Professional part | $199.53 | $269.15 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $288.40 Typical High $794.33 | Professional | TC · Technical part | $131.83 | $288.40 | $794.33 |
Well Sense Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $660.69 | Facility | None | $323.59 | $446.68 | $660.69 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $354.81 | Facility | 26 · Professional part | $151.36 | $199.53 | $354.81 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $398.11 | Facility | TC · Technical part | $173.78 | $223.87 | $398.11 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $281.84 | $338.84 | $338.84 |
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 $147.91 Median $147.91 Typical High $245.47 | Professional | 52 · Reduced service | $147.91 | $147.91 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | 53 · Discontinued | $60.26 | $60.26 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $208.93 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $208.93 | $208.93 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $239.88 Typical High $436.52 | Professional | FX · Film X-ray | $239.88 | $239.88 | $436.52 |
Where Massachusetts sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 18th of 51
$562
AK $1,698FL $302
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.