How much rates vary
Facilitymedian $54 · 10th to 90th $16 to $263Professionalmedian $54 · 10th to 90th $18 to $257
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 $27.54 Median $42.66 Typical High $83.18 | Facility | None | $27.54 | $42.66 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $89.13 | Professional | None (both parts) | $27.54 | $34.67 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $25.12 | Professional | 26 · Professional part | $8.51 | $10.72 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $63.10 | Professional | TC · Technical part | $18.62 | $24.55 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $41.69 Median $147.91 Typical High $288.40 | Facility | None | $41.69 | $147.91 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $37.15 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $37.15 | $114.82 | $257.04 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $29.51 Typical High $85.11 | Professional | 26 · Professional part | $11.22 | $29.51 | $85.11 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $89.13 Typical High $208.93 | Professional | TC · Technical part | $29.51 | $89.13 | $208.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $37.15 Median $162.18 Typical High $229.09 | Facility | None | $37.15 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $12.02 | $20.42 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $37.15 | $37.15 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $173.78 Typical High $380.19 | Facility | None | $63.10 | $173.78 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $128.82 | Professional | None (both parts) | $44.67 | $54.95 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $13.49 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $95.50 | Professional | TC · Technical part | $35.48 | $40.74 | $95.50 |
Fallon Health Setting Facility Modifier None Typical Low $14.13 Median $42.66 Typical High $67.61 | Facility | None | $14.13 | $42.66 | $67.61 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $14.13 | $44.67 | $67.61 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $64.57 Typical High $134.90 | Professional | None (both parts) | $39.81 | $64.57 | $134.90 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $11.48 | $17.38 | $32.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $48.98 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $48.98 | $91.20 |
Health New England Setting Facility Modifier None Typical Low $60.26 Median $141.25 Typical High $407.38 | Facility | None | $60.26 | $141.25 | $407.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.05 Typical High $87.10 | Professional | None (both parts) | $15.14 | $19.05 | $87.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $41.69 Median $147.91 Typical High $288.40 | Facility | None | $41.69 | $147.91 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $37.15 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $37.15 | $114.82 | $257.04 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $29.51 Typical High $85.11 | Professional | 26 · Professional part | $11.22 | $29.51 | $85.11 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $89.13 Typical High $208.93 | Professional | TC · Technical part | $29.51 | $89.13 | $208.93 |
Tufts Setting Facility Modifier None Typical Low $31.62 Median $104.71 Typical High $407.38 | Facility | None | $31.62 | $104.71 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $31.62 | $51.29 | $81.28 |
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 $37.15 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $37.15 | $53.70 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $15.14 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $26.92 | $38.90 | $70.79 |
Well Sense Setting Facility Modifier None Typical Low $31.62 Median $43.65 Typical High $64.57 | Facility | None | $31.62 | $43.65 | $64.57 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $18.62 | Facility | 26 · Professional part | $7.94 | $10.47 | $18.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $54.95 | Facility | TC · Technical part | $23.44 | $30.90 | $54.95 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | None (both parts) | $30.90 | $30.90 | $37.15 |
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 $13.80 Median $13.80 Typical High $20.42 | Professional | 52 · Reduced service | $13.80 | $13.80 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $8.32 | Professional | 53 · Discontinued | $5.50 | $5.50 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | FX · Film X-ray | $21.88 | $21.88 | $33.11 |
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 $6.03 Median $24.55 Typical High $42.66 | Professional | 52 · Reduced service | $6.03 | $24.55 | $42.66 |
Where Massachusetts sits
The same service costs 12.6 times more in Vermont 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
$53.70
VT $389FL $30.90
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.