How much rates vary
Facilitymedian $100 · 10th to 90th $10 to $2,512Professionalmedian $100 · 10th to 90th $15 to $447
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 $85.11 Median $85.11 Typical High $281.84 | Facility | None | $85.11 | $85.11 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $7.24 | $7.24 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $74.13 | $77.62 | $77.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $75.86 Median $263.03 Typical High $2,951.21 | Facility | None | $75.86 | $263.03 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $54.95 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $54.95 | $169.82 | $446.68 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $17.38 Typical High $128.82 | Professional | 26 · Professional part | $7.59 | $17.38 | $128.82 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $158.49 Typical High $407.38 | Professional | TC · Technical part | $48.98 | $158.49 | $407.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,041.74 | $2,818.38 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None (both parts) | $74.13 | $74.13 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $1,412.54 Typical High $3,981.07 | Facility | None | $104.71 | $1,412.54 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $309.03 | Professional | None (both parts) | $95.50 | $107.15 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $30.90 | Professional | 26 · Professional part | $9.55 | $11.48 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $281.84 | Professional | TC · Technical part | $87.10 | $100.00 | $281.84 |
Fallon Health Setting Facility Modifier None Typical Low $10.00 Median $89.13 Typical High $117.49 | Facility | None | $10.00 | $89.13 | $117.49 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.00 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $10.00 | $91.20 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $72.44 Median $147.91 Typical High $302.00 | Professional | None (both parts) | $72.44 | $147.91 | $302.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $8.91 | $15.14 | $24.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $64.57 | $125.89 | $213.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $75.86 Median $263.03 Typical High $2,951.21 | Facility | None | $75.86 | $263.03 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $54.95 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $54.95 | $169.82 | $446.68 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $17.38 Typical High $128.82 | Professional | 26 · Professional part | $7.59 | $17.38 | $128.82 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $158.49 Typical High $407.38 | Professional | TC · Technical part | $48.98 | $158.49 | $407.38 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $5,128.61 | Facility | None | $1,819.70 | $3,388.44 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $295.12 | Professional | None (both parts) | $50.12 | $100.00 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $29.51 | Professional | 26 · Professional part | $8.71 | $10.96 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $91.20 Typical High $269.15 | Professional | TC · Technical part | $38.90 | $91.20 | $269.15 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $112.20 | Facility | None | $54.95 | $75.86 | $112.20 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $7.41 Typical High $13.18 | Facility | 26 · Professional part | $5.62 | $7.41 | $13.18 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $112.20 | Facility | TC · Technical part | $48.98 | $63.10 | $112.20 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $63.10 | $75.86 | $75.86 |
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 $41.69 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $93.33 | Professional | FX · Film X-ray | $69.18 | $69.18 | $93.33 |
Where Massachusetts sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 24th of 51
$100
AL $513IN $63.10
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.