How much rates vary
Facilitymedian $43 · 10th to 90th $13 to $138Professionalmedian $46 · 10th to 90th $16 to $219
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 $22.91 Median $47.86 Typical High $109.65 | Facility | None | $22.91 | $47.86 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $27.54 Typical High $67.61 | Professional | None (both parts) | $22.91 | $27.54 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.94 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $7.94 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $46.77 | Professional | TC · Technical part | $15.14 | $19.05 | $46.77 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $120.23 Typical High $154.88 | Facility | None | $38.02 | $120.23 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $218.78 | Professional | None (both parts) | $33.11 | $93.33 | $218.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $25.12 Typical High $75.86 | Professional | 26 · Professional part | $10.00 | $25.12 | $75.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $69.18 Typical High $199.53 | Professional | TC · Technical part | $25.12 | $69.18 | $199.53 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $10.47 | $17.78 |
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 $41.69 Median $45.71 Typical High $107.15 | Professional | None (both parts) | $41.69 | $45.71 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $11.75 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $33.88 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $12.30 Median $33.88 Typical High $54.95 | Facility | None | $12.30 | $33.88 | $54.95 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $36.31 Typical High $54.95 | Professional | None (both parts) | $12.30 | $36.31 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.11 Median $52.48 Typical High $109.65 | Professional | None (both parts) | $33.11 | $52.48 | $109.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $29.51 | Professional | 26 · Professional part | $10.47 | $15.14 | $29.51 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $39.81 | $74.13 |
Health New England Setting Facility Modifier None Typical Low $50.12 Median $117.49 Typical High $208.93 | Facility | None | $50.12 | $117.49 | $208.93 |
Health New England Setting Professional Modifier None (both parts) Typical Low $14.45 Median $15.85 Typical High $53.70 | Professional | None (both parts) | $14.45 | $15.85 | $53.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $120.23 Typical High $154.88 | Facility | None | $38.02 | $120.23 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $218.78 | Professional | None (both parts) | $33.11 | $93.33 | $218.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $25.12 Typical High $75.86 | Professional | 26 · Professional part | $10.00 | $25.12 | $75.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $69.18 Typical High $199.53 | Professional | TC · Technical part | $25.12 | $69.18 | $199.53 |
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 $33.11 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $33.11 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $9.12 | $13.49 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $32.36 | $57.54 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $36.31 Typical High $54.95 | Facility | None | $26.30 | $36.31 | $54.95 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $9.12 Typical High $16.22 | Facility | 26 · Professional part | $6.92 | $9.12 | $16.22 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $45.71 | Facility | TC · Technical part | $19.50 | $25.12 | $45.71 |
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 $11.48 Median $11.48 Typical High $16.60 | Professional | 52 · Reduced service | $11.48 | $11.48 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.61 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $18.20 | $26.30 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $11.75 | Professional | 52 · Reduced service | $5.25 | $5.25 | $11.75 |
Where Massachusetts sits
The same service costs 3.5 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
$45.71
AK $95.50FL $26.92
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.