How much rates vary
Facilitymedian $59 · 10th to 90th $18 to $240Professionalmedian $65 · 10th to 90th $22 to $437
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 $33.11 Median $33.11 Typical High $147.91 | Facility | None | $33.11 | $33.11 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $100.00 | Professional | None (both parts) | $33.11 | $33.11 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $28.18 | Professional | 26 · Professional part | $10.47 | $10.47 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $67.61 | Professional | TC · Technical part | $22.39 | $22.39 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $43.65 Median $169.82 Typical High $288.40 | Facility | None | $43.65 | $169.82 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $436.52 | Professional | None (both parts) | $44.67 | $131.83 | $436.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $36.31 Typical High $102.33 | Professional | 26 · Professional part | $14.13 | $36.31 | $102.33 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $104.71 Typical High $426.58 | Professional | TC · Technical part | $35.48 | $104.71 | $426.58 |
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 $41.69 Median $41.69 Typical High $42.66 | Professional | None (both parts) | $41.69 | $41.69 | $42.66 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $14.45 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $199.53 Typical High $426.58 | Facility | None | $63.10 | $199.53 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $154.88 | Professional | None (both parts) | $53.70 | $64.57 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $16.98 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $114.82 | Professional | TC · Technical part | $40.74 | $47.86 | $114.82 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $47.86 Typical High $77.62 | Facility | None | $17.38 | $47.86 | $77.62 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $17.38 | $51.29 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $50.12 | $79.43 | $154.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $14.79 | $23.99 | $40.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $61.66 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $251.19 | Facility | None | $67.61 | $81.28 | $251.19 |
Health New England Setting Professional Modifier None (both parts) Typical Low $11.22 Median $20.42 Typical High $77.62 | Professional | None (both parts) | $11.22 | $20.42 | $77.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $43.65 Median $169.82 Typical High $288.40 | Facility | None | $43.65 | $169.82 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $436.52 | Professional | None (both parts) | $44.67 | $131.83 | $436.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $36.31 Typical High $102.33 | Professional | 26 · Professional part | $14.13 | $36.31 | $102.33 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $104.71 Typical High $426.58 | Professional | TC · Technical part | $35.48 | $104.71 | $426.58 |
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 $44.67 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $44.67 | $63.10 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $12.59 | $18.62 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $32.36 | $46.77 | $83.18 |
Well Sense Setting Facility Modifier None Typical Low $38.02 Median $52.48 Typical High $77.62 | Facility | None | $38.02 | $52.48 | $77.62 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $23.44 | Facility | 26 · Professional part | $10.00 | $12.88 | $23.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $64.57 | Facility | TC · Technical part | $27.54 | $36.31 | $64.57 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | None (both parts) | $33.88 | $33.88 | $40.74 |
5 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 $16.60 Median $16.60 Typical High $23.44 | Professional | 52 · Reduced service | $16.60 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $9.33 | Professional | 53 · Discontinued | $6.61 | $6.61 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $37.15 | Professional | FX · Film X-ray | $26.30 | $26.30 | $37.15 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $81.28 Typical High $114.82 | Facility | 52 · Reduced service | $64.57 | $81.28 | $114.82 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $28.18 Typical High $50.12 | Professional | 52 · Reduced service | $7.24 | $28.18 | $50.12 |
Where Massachusetts sits
The same service costs 4.1 times more in Alaska than in Utah. 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
$64.57
AK $132UT $32.36
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.