How much rates vary
Facilitymedian $589 · 10th to 90th $347 to $1,698Professionalmedian $759 · 10th to 90th $407 to $3,388
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 $407.38 Median $407.38 Typical High $1,548.82 | Facility | None | $407.38 | $407.38 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $407.38 | $407.38 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | 26 · Professional part | $229.09 | $229.09 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $177.83 | $295.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $1,548.82 Typical High $2,089.30 | Facility | None | $489.78 | $1,548.82 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,778.28 Typical High $3,388.44 | Professional | None (both parts) | $489.78 | $1,778.28 | $3,388.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $1,023.29 Typical High $2,344.23 | Professional | 26 · Professional part | $309.03 | $1,023.29 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $933.25 Typical High $1,949.84 | Professional | TC · Technical part | $234.42 | $933.25 | $1,949.84 |
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 $416.87 Median $851.14 Typical High $2,511.89 | Facility | None | $416.87 | $851.14 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $1,819.70 | Professional | None (both parts) | $660.69 | $758.58 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $416.87 Typical High $954.99 | Professional | 26 · Professional part | $363.08 | $416.87 | $954.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $346.74 Typical High $870.96 | Professional | TC · Technical part | $316.23 | $346.74 | $870.96 |
Fallon Health Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $933.25 | Facility | None | $331.13 | $426.58 | $933.25 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $346.74 | $457.09 | $933.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,122.02 Typical High $1,778.28 | Professional | None (both parts) | $575.44 | $1,122.02 | $1,778.28 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $602.56 Typical High $977.24 | Professional | 26 · Professional part | $316.23 | $602.56 | $977.24 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $831.76 | Professional | TC · Technical part | $263.03 | $512.86 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $1,548.82 Typical High $2,089.30 | Facility | None | $489.78 | $1,548.82 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,778.28 Typical High $3,388.44 | Professional | None (both parts) | $489.78 | $1,778.28 | $3,388.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $1,023.29 Typical High $2,344.23 | Professional | 26 · Professional part | $309.03 | $1,023.29 | $2,344.23 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $933.25 Typical High $1,949.84 | Professional | TC · Technical part | $234.42 | $933.25 | $1,949.84 |
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 $501.19 Median $741.31 Typical High $1,905.46 | Professional | None (both parts) | $501.19 | $741.31 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $407.38 Typical High $1,000.00 | Professional | 26 · Professional part | $302.00 | $407.38 | $1,000.00 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $912.01 | Professional | TC · Technical part | $186.21 | $331.13 | $912.01 |
Well Sense Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $870.96 | Facility | None | $426.58 | $588.84 | $870.96 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $223.87 Median $295.12 Typical High $524.81 | Facility | 26 · Professional part | $223.87 | $295.12 | $524.81 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $457.09 | Facility | TC · Technical part | $199.53 | $257.04 | $457.09 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $380.19 | $457.09 | $457.09 |
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 $204.17 Median $204.17 Typical High $323.59 | Professional | 52 · Reduced service | $204.17 | $204.17 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $131.83 | Professional | 53 · Discontinued | $81.28 | $81.28 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $457.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $575.44 | Professional | FX · Film X-ray | $323.59 | $323.59 | $575.44 |
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· 17th of 51
$741
AK $2,239FL $398
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.