How much rates vary
Facilitymedian $42 · 10th to 90th $11 to $151Professionalmedian $44 · 10th to 90th $14 to $209
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 $21.88 Median $41.69 Typical High $97.72 | Facility | None | $21.88 | $41.69 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $27.54 Typical High $70.79 | Professional | None (both parts) | $21.88 | $27.54 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.76 Typical High $19.50 | Professional | 26 · Professional part | $6.46 | $7.76 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $51.29 | Professional | TC · Technical part | $15.14 | $19.50 | $51.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $36.31 Median $117.49 Typical High $154.88 | Facility | None | $36.31 | $117.49 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $31.62 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $31.62 | $91.20 | $208.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.91 Typical High $85.11 | Professional | 26 · Professional part | $8.71 | $22.91 | $85.11 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $69.18 Typical High $177.83 | Professional | TC · Technical part | $24.55 | $69.18 | $177.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $31.62 Median $89.13 Typical High $128.82 | Facility | None | $31.62 | $89.13 | $128.82 |
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 $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 $29.51 Median $29.51 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $29.51 | $50.12 |
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 $44.67 Typical High $104.71 | Professional | None (both parts) | $37.15 | $44.67 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $25.12 | Professional | 26 · Professional part | $10.00 | $10.72 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $79.43 | Professional | TC · Technical part | $28.84 | $33.88 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $33.88 Typical High $53.70 | Facility | None | $10.96 | $33.88 | $53.70 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $10.96 | $36.31 | $53.70 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $31.62 Median $48.98 Typical High $107.15 | Professional | None (both parts) | $31.62 | $48.98 | $107.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.18 Typical High $26.30 | Professional | 26 · Professional part | $9.12 | $13.18 | $26.30 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $25.70 | $45.71 | $77.62 |
Health New England Setting Facility Modifier None Typical Low $50.12 Median $158.49 Typical High $275.42 | Facility | None | $50.12 | $158.49 | $275.42 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.30 Median $13.80 Typical High $52.48 | Professional | None (both parts) | $12.30 | $13.80 | $52.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $36.31 Median $117.49 Typical High $154.88 | Facility | None | $36.31 | $117.49 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $31.62 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $31.62 | $91.20 | $208.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.91 Typical High $85.11 | Professional | 26 · Professional part | $8.71 | $22.91 | $85.11 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $69.18 Typical High $177.83 | Professional | TC · Technical part | $24.55 | $69.18 | $177.83 |
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 $31.62 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $31.62 | $42.66 | $77.62 |
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 $22.91 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $32.36 | $57.54 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $35.48 Typical High $52.48 | Facility | None | $25.70 | $35.48 | $52.48 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $14.45 | Facility | 26 · Professional part | $6.31 | $8.13 | $14.45 |
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 $22.91 Median $22.91 Typical High $27.54 | Professional | None (both parts) | $22.91 | $22.91 | $27.54 |
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 $10.96 Median $10.96 Typical High $15.49 | Professional | 52 · Reduced service | $10.96 | $10.96 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $6.31 | Professional | 53 · Discontinued | $4.37 | $4.37 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | FX · Film X-ray | $17.38 | $17.38 | $25.12 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $64.57 | Facility | 52 · Reduced service | $35.48 | $44.67 | $64.57 |
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 3.8 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
$43.65
AK $95.50FL $25.12
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.