How much rates vary
Facilitymedian $49 · 10th to 90th $11 to $148Professionalmedian $51 · 10th to 90th $14 to $245
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 $25.70 Median $38.90 Typical High $107.15 | Facility | None | $25.70 | $38.90 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $79.43 | Professional | None (both parts) | $25.70 | $30.20 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $18.20 | Professional | 26 · Professional part | $6.46 | $7.24 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $61.66 | Professional | TC · Technical part | $19.05 | $23.99 | $61.66 |
AllWays Health Partners Setting Facility Modifier None Typical Low $37.15 Median $138.04 Typical High $154.88 | Facility | None | $37.15 | $138.04 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $30.90 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $30.90 | $107.15 | $245.47 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.91 Typical High $63.10 | Professional | 26 · Professional part | $8.71 | $22.91 | $63.10 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $29.51 | $87.10 | $190.55 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Facility | None | $70.79 | $104.71 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | None (both parts) | $36.31 | $36.31 | $37.15 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $9.33 | $9.33 | $15.85 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $36.31 | $36.31 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $162.18 Typical High $275.42 | Facility | None | $63.10 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $123.03 | Professional | None (both parts) | $37.15 | $51.29 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $10.72 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $97.72 | Professional | TC · Technical part | $29.51 | $41.69 | $97.72 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $41.69 Typical High $63.10 | Facility | None | $10.96 | $41.69 | $63.10 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $10.96 | $42.66 | $63.10 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $125.89 | Professional | None (both parts) | $38.02 | $61.66 | $125.89 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $9.33 | $14.45 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $56.23 Typical High $97.72 | Professional | TC · Technical part | $30.20 | $56.23 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $53.70 Median $144.54 Typical High $281.84 | Facility | None | $53.70 | $144.54 | $281.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.02 Median $14.13 Typical High $61.66 | Professional | None (both parts) | $12.02 | $14.13 | $61.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $37.15 Median $138.04 Typical High $154.88 | Facility | None | $37.15 | $138.04 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $30.90 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $30.90 | $107.15 | $245.47 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.91 Typical High $63.10 | Professional | 26 · Professional part | $8.71 | $22.91 | $63.10 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $29.51 | $87.10 | $190.55 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $29.51 | $48.98 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $11.75 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $22.39 | $38.90 | $70.79 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $61.66 | Facility | None | $30.20 | $41.69 | $61.66 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $14.45 | Facility | 26 · Professional part | $6.31 | $8.71 | $14.45 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $56.23 | Facility | TC · Technical part | $23.99 | $31.62 | $56.23 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $30.20 | Professional | None (both parts) | $25.12 | $25.12 | $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 $12.88 Median $12.88 Typical High $18.20 | Professional | 52 · Reduced service | $12.88 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $7.41 | Professional | 53 · Discontinued | $5.13 | $5.13 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $20.42 Typical High $28.84 | Professional | FX · Film X-ray | $20.42 | $20.42 | $28.84 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.25 Typical High $10.47 | Professional | 52 · Reduced service | $4.68 | $5.25 | $10.47 |
Where Massachusetts sits
The same service costs 3.9 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
$51.29
AK $112FL $28.84
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.