How much rates vary
Facilitymedian $39 · 10th to 90th $11 to $162Professionalmedian $40 · 10th to 90th $13 to $186
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 $19.95 Median $38.90 Typical High $91.20 | Facility | None | $19.95 | $38.90 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.70 Typical High $64.57 | Professional | None (both parts) | $19.95 | $25.70 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $18.62 | Professional | 26 · Professional part | $6.31 | $7.41 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $17.78 Typical High $46.77 | Professional | TC · Technical part | $13.80 | $17.78 | $46.77 |
AllWays Health Partners Setting Facility Modifier None Typical Low $32.36 Median $104.71 Typical High $154.88 | Facility | None | $32.36 | $104.71 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $28.18 Median $83.18 Typical High $186.21 | Professional | None (both parts) | $28.18 | $83.18 | $186.21 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $21.38 Typical High $67.61 | Professional | 26 · Professional part | $8.32 | $21.38 | $67.61 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $22.39 | $66.07 | $162.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.88 Median $89.13 Typical High $128.82 | Facility | None | $33.88 | $89.13 | $128.82 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $8.51 | $14.45 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $26.30 | $44.67 |
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 $39.81 Typical High $93.33 | Professional | None (both parts) | $33.88 | $39.81 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $9.77 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $70.79 | Professional | TC · Technical part | $26.30 | $30.20 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $10.23 Median $30.20 Typical High $47.86 | Facility | None | $10.23 | $30.20 | $47.86 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $10.23 | $32.36 | $47.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $29.51 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $29.51 | $63.10 | $102.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $8.71 | $12.88 | $23.99 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $24.55 | $35.48 | $64.57 |
Health New England Setting Facility Modifier None Typical Low $44.67 Median $141.25 Typical High $263.03 | Facility | None | $44.67 | $141.25 | $263.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $10.96 Median $12.59 Typical High $67.61 | Professional | None (both parts) | $10.96 | $12.59 | $67.61 |
Mass General Brigham Setting Facility Modifier None Typical Low $32.36 Median $104.71 Typical High $154.88 | Facility | None | $32.36 | $104.71 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $28.18 Median $83.18 Typical High $186.21 | Professional | None (both parts) | $28.18 | $83.18 | $186.21 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $21.38 Typical High $67.61 | Professional | 26 · Professional part | $8.32 | $21.38 | $67.61 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $22.39 | $66.07 | $162.18 |
Tufts Setting Facility Modifier None Typical Low $22.91 Median $112.20 Typical High $407.38 | Facility | None | $22.91 | $112.20 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $22.39 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $22.39 | $33.88 | $58.88 |
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 $39.81 Typical High $72.44 | Professional | None (both parts) | $28.18 | $39.81 | $72.44 |
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 $20.42 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $29.51 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $31.62 Typical High $47.86 | Facility | None | $22.91 | $31.62 | $47.86 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.75 Median $7.41 Typical High $13.18 | Facility | 26 · Professional part | $5.75 | $7.41 | $13.18 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $40.74 | Facility | TC · Technical part | $17.38 | $22.39 | $40.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None (both parts) | $21.38 | $21.38 | $25.70 |
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 $10.00 Median $10.00 Typical High $14.79 | Professional | 52 · Reduced service | $10.00 | $10.00 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $5.89 | Professional | 53 · Discontinued | $3.98 | $3.98 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | FX · Film X-ray | $16.22 | $16.22 | $22.91 |
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 $4.27 Median $4.27 Typical High $7.24 | Professional | 52 · Reduced service | $4.27 | $4.27 | $7.24 |
Where Massachusetts sits
The same service costs 11.2 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
$39.81
VT $263FL $23.44
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.