How much rates vary
Facilitymedian $46 · 10th to 90th $11 to $158Professionalmedian $45 · 10th to 90th $13 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 $38.90 Typical High $67.61 | Facility | None | $21.88 | $38.90 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $27.54 Typical High $72.44 | Professional | None (both parts) | $21.88 | $27.54 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.41 Typical High $19.05 | Professional | 26 · Professional part | $6.46 | $7.41 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $52.48 | Professional | TC · Technical part | $15.14 | $19.50 | $52.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.90 Median $123.03 Typical High $154.88 | Facility | None | $38.90 | $123.03 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $208.93 | Professional | None (both parts) | $33.11 | $97.72 | $208.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.39 Typical High $83.18 | Professional | 26 · Professional part | $8.51 | $22.39 | $83.18 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $21.38 | $74.13 | $162.18 |
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 $8.91 Median $8.91 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $8.91 | $15.49 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $31.62 | $53.70 |
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 $33.88 Median $44.67 Typical High $102.33 | Professional | None (both parts) | $33.88 | $44.67 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.23 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $10.23 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $34.67 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $36.31 Typical High $56.23 | Facility | None | $10.72 | $36.31 | $56.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $38.02 Typical High $56.23 | Professional | None (both parts) | $10.72 | $38.02 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.88 Median $54.95 Typical High $112.20 | Professional | None (both parts) | $33.88 | $54.95 | $112.20 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $8.91 | $14.45 | $25.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $46.77 | $79.43 |
Health New England Setting Facility Modifier None Typical Low $50.12 Median $144.54 Typical High $371.54 | Facility | None | $50.12 | $144.54 | $371.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.88 Median $14.79 Typical High $57.54 | Professional | None (both parts) | $12.88 | $14.79 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.90 Median $123.03 Typical High $154.88 | Facility | None | $38.90 | $123.03 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $208.93 | Professional | None (both parts) | $33.11 | $97.72 | $208.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.39 Typical High $83.18 | Professional | 26 · Professional part | $8.51 | $22.39 | $83.18 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $21.38 | $74.13 | $162.18 |
Tufts Setting Facility Modifier None Typical Low $25.70 Median $131.83 Typical High $407.38 | Facility | None | $25.70 | $131.83 | $407.38 |
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 $28.18 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $28.18 | $42.66 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $11.22 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $32.36 | $60.26 |
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 $6.03 Median $7.76 Typical High $13.80 | Facility | 26 · Professional part | $6.03 | $7.76 | $13.80 |
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 $21.88 Median $21.88 Typical High $26.30 | Professional | None (both parts) | $21.88 | $21.88 | $26.30 |
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 $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 $6.17 | Professional | 53 · Discontinued | $4.37 | $4.37 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | FX · Film X-ray | $17.38 | $17.38 | $24.55 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $10.23 | Professional | 52 · Reduced service | $4.47 | $4.47 | $10.23 |
Where Massachusetts sits
The same service costs 6.0 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· 17th of 51
$44.67
VT $155FL $25.70
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.